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目的重点研究和探究颈动脉颅外段动脉粥样硬化与老年脑梗塞患者的关系。方法利用回顾性分析的方法研究和比较对我院随机选取2009年1月至2012年12月我院收治的老年脑梗塞患者120例的临床资料进行回顾性对照分析,将运用对比分析的方法,对这120例老年脑梗塞患者患者的声像图及临床资料进行回顾性分析。结果经过本次研究得出,颈动脉内中膜厚度120例患者IMT均有不同程度增加,扩散性增厚76例(63.33%)、局部增厚44例(36.67%)。斑块强度情况:弱回声斑块85例(70.83%)、强回声斑块35例(29.17%)。斑块分布情况:左侧47例(39.17%)、右侧43例(35.83%)、双侧30例(25.00%)。结论老年脑梗塞的主要发病因素是颈部动脉粥样硬化,超声诊断为治疗心脑血管病变提供诊断依据,对制定治疗方案有着重要意义,值得临床推广使用。
Objective To study and explore the relationship between extracranial carotid atherosclerosis and elderly patients with cerebral infarction. Methods Retrospective analysis of the method of research and comparison of our hospital randomly selected from January 2009 to December 2012 in our hospital for treatment of elderly patients with cerebral infarction 120 cases of clinical data retrospectively controlled analysis of the use of comparative analysis, The 120 elderly patients with cerebral infarction patients with sonographic and clinical data were retrospectively analyzed. Results After this study, 120 patients with carotid intima-media thickness IMT increased to varying degrees, diffuse thickening in 76 cases (63.33%), local thickening in 44 cases (36.67%). Plaque intensity: 85 cases (70.83%) with weak echo plaque and 35 cases (29.17%) with strong echogenic plaque. Plaque distribution: 47 cases (39.17%) on the left, 43 cases (35.83%) on the right and 30 cases (25.00%) on both sides. Conclusions The main risk factor of senile cerebral infarction is atherosclerosis of the neck. It provides a diagnostic basis for the treatment of cardiovascular and cerebrovascular diseases by ultrasonic diagnosis. It is of great significance to the formulation of treatment plans and is worthy of clinical promotion.