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目的探讨彩超对高血脂患者颈动脉粥样硬化斑块的诊断价值,高血脂患者颈动脉粥样硬化斑块的特点。方法对120例经检验证实为高血脂患者和138例非高血脂患者的颈动脉的二维及彩超图像进行回顾性分析。结果高血脂患者颈动脉粥样硬化斑块明显多于非高血脂组,高血脂组中共98例检出斑块,非高血脂组中共41例检出斑块,斑块以颈动脉分叉部多见,颈动脉内-中膜厚度明显高于对照组。结论高血脂与颈动脉粥样硬化斑块有一定的关系。彩超能直观显示颈动脉内中膜病变,能敏感检测出粥样硬化斑块的位置、大小、形态及性质,判断高血脂患者的颈动脉粥样硬化程度及预后的一项重要辅助检查手段。
Objective To investigate the diagnostic value of color Doppler ultrasonography for carotid atherosclerotic plaques in patients with hyperlipidemia and the characteristics of carotid atherosclerotic plaques in hyperlipidemic patients. Methods A retrospective analysis was performed on two-dimensional and color Doppler ultrasound images of 120 carotid arteries in 120 hyperlipidemia patients and 138 non-hyperlipidemia patients. Results In patients with hyperlipemia, carotid atherosclerotic plaques were significantly more than those in non-hyperlipidemic patients. A total of 98 plaques were detected in the hyperlipidemic group, and 41 cases in the non-hyperlipidemic group were plaques. The plaques were carotid bifurcation More common carotid intima-media thickness was significantly higher than the control group. Conclusion Hyperlipidemia and carotid atherosclerotic plaque have a certain relationship. Color Doppler ultrasound can visualize the carotid artery intimal lesions, can be sensitive to detect the location, size, shape and nature of atherosclerotic plaque, to determine the level of carotid atherosclerosis in patients with hyperlipidemia and prognosis of an important auxiliary examination.