摘要
目的分析超声造影在颈动脉狭窄患者治疗中的临床意义.方法回顾性分析89例颈动脉狭窄患者的临床资料,所有患者经超声造影检查观察颈动脉斑块形态及狭窄程度,并分析其与患者临床症状与治疗选择之间的关系.结果 89例患者共147个斑块.患者中男66例,女23例,年龄41~88岁,双侧病变患者58例.斑块超声造影强度Ⅰ级40个(27%),Ⅱ级30个(20%),Ⅲ级31个(21%),Ⅳ级46个(31%),有症状组CEUS增强强度为Ⅲ级(21.4%)和Ⅳ级(37.9%)比例较高.两组增强强度差异有统计学意义(P<0.05).有症状组重度狭窄(44.7%)和闭塞(9.7%)比例较高,狭窄程度高于无症状组,两组狭窄等级差异有统计学意义(P<0.05).结论超声造影可动态直观评估颈动脉斑块形态及新生血管分布及密度,对评估颈动脉狭窄患者治疗方式有重要临床意义.
Objective To analyze the clinical significance of contrast-enhanced ultrasound in the treatment of patients with carotid stenosis.Methods The clinical data of 89 patients with carotid stenosis was retrospectively analyzed.The morphology and stenosis of carotid plaques were observed by contrastenhanced ultrasound,and analyzing the relationship between the patient's clinical symptoms and treatment options.Results There were 66 males,23 females,age ranging from 41 to 88 years.There were 147 plaques in 89 patients and 58 patients with bilateral lesions.The intensity of plaque ultrasound contrast was grade Ⅰ in 40 cases(27%),grade Ⅱ in 30(20%),grade Ⅲ in 31(21%),andgrade Ⅳ in 46 (31%).The symptomatic group had higher CEUS strengths in grade Ⅲ(21.4%) and grade Ⅳ(37.9%).The difference was statistically significant between the two groups (P < 0.05).Symptomatic group with high proportion of severe stenosis (44.7%) and occlusion (9.7%).It is narrower than that of asymptomatic group.The difference of stenosis was statistically significant between the two groups (P < 0.05).Conclusion Contrast-enhanced ultrasound can dynamically and visually assess the distribution and density of carotid plaque morphology.It is useful for evaluating the treatment of patients with carotid stenosis.
作者
张林枫
化召辉
张艳
徐鹏
焦周阳
李震
Zhang Linfeng;Hua Zhaohui;Zhang Yan;Xu Peng;Jiao Zhouyang;Li Zhen(Department of Endovascular Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华普通外科杂志》
CSCD
北大核心
2019年第10期871-873,共3页
Chinese Journal of General Surgery
关键词
颈动脉狭窄
颈动脉内膜切除术
颈动脉超声造影
Carotid stenosis
Carotid endarteretomy
Carotid contrast-enhanced ultrasound
