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目的分析颈动脉粥样硬化斑块的彩色多普勒特征,探讨彩色多普勒超声在颈动脉粥样硬化斑块与脑梗死关系的相关性价值分析。方法回顾性分析我院2010年5月至2011年1月临床经CT或MRI扫描证实的脑梗死患者42例,进行双侧颈动脉彩色多普勒超声检查,分析颈动脉粥样硬化斑块与脑梗死的相关性。结果 42例脑梗死患者,有颈动脉粥样硬化斑块形成者30例,发病率约71.4%,左侧多于右侧,且多发于颈动脉分叉处,以软斑较多见,溃疡斑和软斑与脑梗死的发生密切相关。结论脑梗死的发生与颈动脉粥样硬化斑块形成密切相关,彩色多普勒超声检查颈动脉粥样硬化斑块的形态、性质及其血流动力学变化,对指导临床治疗有极其重要意义。
Objective To analyze the color Doppler characteristics of carotid atherosclerotic plaques and to explore the correlation between color Doppler ultrasound and carotid artery atherosclerosis plaque. Methods A retrospective analysis of our hospital from May 2010 to January 2011 clinical CT or MRI confirmed cerebral infarction in 42 patients with bilateral carotid artery color Doppler ultrasound examination of carotid atherosclerosis plaque and Correlation of cerebral infarction. Results There were 30 cases of carotid atherosclerotic plaque in 42 patients with cerebral infarction, the morbidity was about 71.4%, the left side was more than the right side and the carotid bifurcation was more common in the patients with cerebral infarction. Blemishes and soft spots are closely related to the occurrence of cerebral infarction. Conclusions The occurrence of cerebral infarction is closely related to the formation of carotid atherosclerosis plaque. Color Doppler ultrasound examination of the morphology, properties and hemodynamic changes of carotid artery atherosclerotic plaque is extremely important for guiding the clinical treatment .