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常规超声与超声造影诊断颈动脉粥样硬化斑块的对比研究

  

  1. 河北医科大学第二医院 a.神经内科;b.超声科,河北 石家庄 050000
  • 出版日期:2016-11-05 发布日期:2016-11-04
  • 通讯作者: 通信作者:贾丽景,Email:729322757@qq.com

Comparative study of conventional and contrastenhanced ultrasound in diagnosis of carotid atherosclerotic plaques

  1. a. Department of Neurology; b.Department of Ultrasound,the Second Hospital of
    Hebei Medical University,Shijiazhuang 050000,China
  • Online:2016-11-05 Published:2016-11-04
  • Contact: Corresponding author: Jia Lijing,Email:729322757@qq.com

摘要: 目的对比研究超声造影与常规超声对于颈动脉粥样硬化斑块的诊断,分析两种检查方式的利弊。方法回顾性分析我院收治的经常规超声证实存在颈动脉斑块的54例缺血性脑血管病患者的颈动脉常规超声及超声造影资料。 结果其中7例患者常规超声显示存在低回声斑块而经超声造影证实斑块分级仅为Ⅰ级;5例患者常规超声显示存在高回声斑块而经超声造影证实斑块分级为Ⅲ~Ⅳ级;3例患者经超声造影显示出常规超声未能清晰发现的颈内动脉外侧壁斑块;2例患者经过常规超声和超声造影综合分析证实存在动脉斑块致颈动脉狭窄,狭窄率估测为50%~69%。结论超声造影在诊断颈动脉粥样硬化斑块,尤其是在发现颈动脉外侧壁斑块、观察斑块内新生血管及评估斑块稳定性方面优于常规超声;在评估血管狭窄程度方面,常规超声结合超声造影综合应用要优于单纯应用常规超声。

关键词: 颈动脉血栓形成;造影剂, 超声检查

Abstract: ObjectiveTo explore the value of conventional ultrasonic in diagnosis of carotid atherosclerotic plaques comparing with contrastenhanced ultrasound. MethodsThe clinical data included conventional and contrastenhanced ultrasound image of 54 cerebrovascular patients with carotid atherosclerotic plaques which confirmed by conventional ultrasonic. ResultsThe conventional ultrasound in seven patients showed low echo plaques confirmed by contrastenhanced ultrasound plaque only for grade Ⅰ;  conventional ultrasound in five patients showed high echo plaques confirmed by contrastenhanced ultrasound plaque for grade  ⅢⅣ;  contrastenhanced ultrasound imaging in three patients  showed the plaque of internal carotid lateral wall that conventional ultrasonic failed to clearly find. Carotid artery stenosis was confirmed by conventional ultrasonic and contrastenhanced ultrasound in two patients, stenosis rate was estimated for 50%69%.  ConclusionContrastenhanced ultrasound is better than conventional ultrasonic in diagnosis of carotid atherosclerotic plaques, especially finding the lateral wall plaque of carotid artery, observing the angiogenesis in atherosclerosis plaque and assessment of plaque stability.

Key words: carotid artery thrombosis;contrast media, ultrasonography