摘要
目的通过高频超声对急性冠状动脉综合征（ACS）和动脉粥样硬化血栓性脑梗死（ACI）患者的颈动脉粥样硬化斑块特征进行研究。方法选择拟诊为ACS的患者100例（单支病变患者50例,多支病变患者50例）及ACI的患者56例,采用高频超声对以上两类患者的颈动脉斑块特征进行对比研究。结果 ACS及ACI患者的颈动脉斑块均以双侧颈动脉窦部多发,且以硬斑块多见;ACS中冠状动脉多支病变患者斑块发生率高于单支病变（P〈0.05）,与ACI患者相似;ACS中多支病变患者与ACI患者的不稳定斑块及狭窄发生率均较单支病变患者高（P〈0.05）。结论高频超声发现ACS和ACI患者具有相似的颈动脉斑块特征,其中ACS中多支病变患者与ACI患者颈部斑块特征的相似度更为明显。
Aim To elucidate the characteristics of carotid plaques in patients between acute coronary syndrome（ ACS） and atherothrombotic cerebral infarction（ ACI）. Methods 100 patients（ 50 patients with single-vessel coronary artery disease（ SVD） and the others with multivessel coronary artery disease（ MVD）） with ACS and fifty-six patients with ACI were enrolled in this study,carotid artery ultrasound-based atherosclerotic parameters of all patients were measured. Results Carotid atherosclerotic plaques in patients with ACS and ACI were multiple in the bilateral carotid sinus,and more common with hard spot. The incidence of plaque in ACS patients with MVD was higher than that SVD（ P〈0. 05）,similar to those with ACI. The incidence of unstable plaque and stenosis in patients with MVD and ACI was higher than those with SVD（ P〈0. 05）. Conclusions High-frequency ultrasound findings showed similar characteristics of carotid plaque in ACS and ACI patients. The similarity of cervical plaque features in MVD patients was more obvious.
作者
阳姿
欧阳征仁
孟莉娟
YANG Zi;OUYANG Zhengren;MENG Lijuan(Department of Ultrasound Medicine,Second Affiliated Hospital of University of South China,Hengyang,Hunan 421001,China)
出处
《中国动脉硬化杂志》
CAS
2018年第7期720-724,共5页
Chinese Journal of Arteriosclerosis
作者简介
阳姿，硕士研究生，研究方向为心血管超声诊断学，E-mail为501335156@qq．com。;通信作者 欧阳征仁，副主任医师，副教授，硕士研究生导师，研究方向为心血管超声诊断学，E-mail为yzouyang@126．com。
