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彩色多普勒超声检出颈动脉硬化斑块在脑梗死临床诊断中的应用价值
http://www.100md.com 2008年10月1日 《医学发展》 2008年第10期
彩色多普勒超声检出颈动脉硬化斑块在脑梗死临床诊断中的应用价值

     摘 要 目的:应用彩色多普勒超声检查初步探讨颈动脉硬化斑块与脑梗死的关系。方法:对83例颈动脉硬化斑检出者均行头部 CT 或 MRI 检查证实有无梗死发生。结果:83例颈动脉硬化斑块检出者经头部 CT 或 MRI 检查证实有梗死灶发生的有49例,占59%,其中有典型临床症状者23例,占27%。颈动脉粥样硬化斑块好发于颈动脉分叉处。软斑、混合斑是脑梗死患者的主要栓子来源。结论:颈动脉粥样硬化斑块与脑梗死有密切相关性。彩色多普勒超声检测颈动脉硬化斑块对诊断脑梗死有很大的临床价值。

    关键词彩色多普勒超声;颈动脉硬化斑块;脑梗死

    AbstractObjective:Analysis on correlation of carotid artery atherosclerosis and cerebral infarction by Color Doppler Flow imaging Methods:83 cases of ultrasound on the carotid artery plaque were detected in line head CT or MRI examination confirmed the occurrence of any infarction. Result:83 cases of carotid artery plaque were detected by CT or MRI head examination confirmed infarction have occurred in 49 cases, accounting for 59%, with typical clinical symptoms were 23 cases, accounting for 27%. Carotid atherosclerotic plaque in the carotid artery made good forks. Soft spots, mixed plaque in patients with cerebral infarction is the main source of emboli. Conclusion:Carotid atherosclerosis and cerebral infarction is closely related to each other. Color Doppler ultrasound diagnosis of carotid artery plaque is very cerebral clinical value. ......

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