您的位置: 首页 > 2017年11月 第48卷 第6期 > 文字全文
2023年7月 第38卷 第7期11
目录

急性脑卒中患者颈动脉斑块超声表现

The ultrasonography findings of carotid plaques in acute st roke patients

来源期刊: 广州医药 | 97-100 发布时间:2021-12-01 收稿时间:2025/11/13 17:08:43 阅读量:7
作者:
关键词:
脑卒中颈内动脉粥样硬化斑块彩色多普勒血流显像超声造影
DOI:
10.3969/j.issn.1000-8535.2017.06.028
收稿时间:
2017-08-03 
修订日期:
 
接收日期:
 
引用总数:
0  
目的 探讨急性脑卒中患者颈动脉粥样硬化斑块的超声形态学表现以及探讨不同超声形态学表现的诊断价值。方法 对所有入选受检者进行多层螺旋CT或磁共振(MRI)检查、常规颈动脉超声检查、彩色多普勒血流显像(CDFI)、超声造影技术(CEUS)的影像学资料进行回顾性分析;所入选病例组患者在发病2天内完成上述影像学检查,对照组受检者也在2天内完成上述影像学检查。结果 常规超声发现病例组颈动脉斑块45处、对照组11处;CDFI发现病例组颈动脉斑块远端血流频谱改变35例、对照组11例;超声造影发现颈动脉斑粥样硬化斑块处毛细血管现象病例组15例、对照组2例。斑块表面形态以及内部回声分布情况两项结果与对照组比较差异有统计学意义。结论 脑卒中患者与无症状颈动脉硬化受检者的斑块超声声像图中,斑块表面形态以及内部回声分布两项指标具有明显的鉴别诊断意义。提示表面不光整、内部回声分布不均匀的斑块导致急性脑卒中的可能性较大。
1、 GIANNONI M F, VICENZINI E, CITONE M, et al. Contrast carotid ultrasound for the detection of unstable plaques with neoangiogenesis: a pilot study [J]. Eur J Vasc Endovasc Surg, 2009,37(6): 722-727. GIANNONI M F, VICENZINI E, CITONE M, et al. Contrast carotid ultrasound for the detection of unstable plaques with neoangiogenesis: a pilot study [J]. Eur J Vasc Endovasc Surg, 2009,37(6): 722-727.
2、 FEINSTEIN S B. Contrast ultrasound imaging of the carotid artery vasa vasorum and atherosclerotic plaque neovascularization [J]. J Am Coll Cardiol, 2006, 48(2): 236-243. FEINSTEIN S B. Contrast ultrasound imaging of the carotid artery vasa vasorum and atherosclerotic plaque neovascularization [J]. J Am Coll Cardiol, 2006, 48(2): 236-243.
3、 STAUB D, PARTOVI S, SCHINKEL A F, et al. Correlation of carotid artery atherosclerotic lesion echogenicity and severity at standard US with intraplaque neovascularization detected at contrast-enhanced US[J]. Radiology, 2011, 258(2): 618-626. STAUB D, PARTOVI S, SCHINKEL A F, et al. Correlation of carotid artery atherosclerotic lesion echogenicity and severity at standard US with intraplaque neovascularization detected at contrast-enhanced US[J]. Radiology, 2011, 258(2): 618-626.
4、 CHEUNG W K, GUJRAL D M, SHAH B N, et al. Attenuation correction and normalisation for quantification of contrast enhancement in ultrasound images of carotid arteries[J]. Ultrasound Med Biol, 2015,41(7): 1876-1883. CHEUNG W K, GUJRAL D M, SHAH B N, et al. Attenuation correction and normalisation for quantification of contrast enhancement in ultrasound images of carotid arteries[J]. Ultrasound Med Biol, 2015,41(7): 1876-1883.
5、 SHAH F, BALAN P, WEINBERG M, et al. Contrast-enhanced ultrasound imaging of atherosclerotic carotid plaque neovascularization: a new surrogate marker of atherosclerosis[J]. Vasc Med, 2007,12(4): 291-297. SHAH F, BALAN P, WEINBERG M, et al. Contrast-enhanced ultrasound imaging of atherosclerotic carotid plaque neovascularization: a new surrogate marker of atherosclerosis[J]. Vasc Med, 2007,12(4): 291-297.
6、 白志勇, 李敬府, 杨玉杰,等. 颈动脉斑块超声造影增强特征与脑梗死的关系[J]. 中国医学影像技术,2011, 27(11): 2194-2197. 白志勇, 李敬府, 杨玉杰,等. 颈动脉斑块超声造影增强特征与脑梗死的关系[J]. 中国医学影像技术,2011, 27(11): 2194-2197.
7、 吕琦, 惠品晶, 陈剑华, 等. CDFI评估颈动脉粥样硬化斑块易损性[J]. 中风与神经疾病杂志, 2015,32 (3): 243-247. 吕琦, 惠品晶, 陈剑华, 等. CDFI评估颈动脉粥样硬化斑块易损性[J]. 中风与神经疾病杂志, 2015,32 (3): 243-247.
8、 YAZDANI S K, VORPAHL M, LADICH E, et al. Pathology and vulnerability of atherosclerotic plaque: identification, treatment options, and individual patient differences for prevention of stroke[J]. Curr Treat Options Cardiovasc Med, 2010,12(3): 297-314. YAZDANI S K, VORPAHL M, LADICH E, et al. Pathology and vulnerability of atherosclerotic plaque: identification, treatment options, and individual patient differences for prevention of stroke[J]. Curr Treat Options Cardiovasc Med, 2010,12(3): 297-314.
9、 NARULA J, GARG P, ACHENBACH S, et al. Arithmetic of vulnerable plaques for noninvasive imaging[J]. Nat Clin Pract Cardiovasc Med,2008, 5 Suppl 2: S2-10. NARULA J, GARG P, ACHENBACH S, et al. Arithmetic of vulnerable plaques for noninvasive imaging[J]. Nat Clin Pract Cardiovasc Med,2008, 5 Suppl 2: S2-10.
10、 FISHER M, PAGANINI-HILL A, MARTIN A, et al. Carotid plaque pathology: thrombosis, ulceration, and stroke pathogenesis[J]. Stroke,2005, 36 (2): 253-257. FISHER M, PAGANINI-HILL A, MARTIN A, et al. Carotid plaque pathology: thrombosis, ulceration, and stroke pathogenesis[J]. Stroke,2005, 36 (2): 253-257.
11、 张明明, 贾化平, 梁会泽, 等. 联合应用颈动脉超声及经颅多普勒超声对缺血性脑卒中的诊断价值[J]. 中国超声医学杂志,2015, 31 (3): 197-200. 张明明, 贾化平, 梁会泽, 等. 联合应用颈动脉超声及经颅多普勒超声对缺血性脑卒中的诊断价值[J]. 中国超声医学杂志,2015, 31 (3): 197-200.
12、 张志宏, 韩昌义, 丁星月,等. 超声检测颈动脉粥样硬化斑块与脑卒中的关系[J]. 临床超声医学杂志,2003, 5 (1): 15-16. 张志宏, 韩昌义, 丁星月,等. 超声检测颈动脉粥样硬化斑块与脑卒中的关系[J]. 临床超声医学杂志,2003, 5 (1): 15-16.
13、 GRANT E G, BENSON C B, MONETA G L, et al. Carotid artery stenosis: gray-scale and Doppler US diagnosis——Society of Radiologists in Ultrasound Consensus Conference [J]. Radiology, 2003, 229 (2):340-346. GRANT E G, BENSON C B, MONETA G L, et al. Carotid artery stenosis: gray-scale and Doppler US diagnosis——Society of Radiologists in Ultrasound Consensus Conference [J]. Radiology, 2003, 229 (2):340-346.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录