目的应用实时超声造影技术探讨颈动脉斑块显影情况与脑卒中发生的关系。方法 130例患者,其中脑卒中组患者80例,对照组50例,常规颈动脉超声检查,对并发斑块者行实时造影剂增强超声造影,观察斑块显影情况。结果①脑卒中颈动脉硬化患者软斑(33/68,49%)及混合斑(22/68,32%)所占的比率明显高于对照组(2/21,9%;4/21,19%);②脑卒中患者中颈动脉斑块内显影率(42/68,62%)明显高于对照组患者(6/21,29%),差异有统计学意义(P<0.01)。结论颈动脉斑块性质及超声造影显影情况与脑卒中发生关系密切。
Objective To study the relationship between ultrasound characteristics of carotid artery plaques and stroke by real-time enhanced ultrasonography. Methods 130 subjects,including 80 stroke patients and 50 control,were performed with routine carotid artery ultrasonography,and the patients found with complicated plaques were observed with plaques characteristics by real-time contrast-enhanced ultrasonography. Results 1. The percentage of soft and commixture plaques in the stroke patients were 49% ( 33 /68) and 32% ( 22 /68) , respectively,which were significantly greater than those in the controls( 2 /21, 9%; 4 /21,19%) . 2. Carotid artery plaques visualization rate in stroke was 62% ( 42 /68) ,which was higher than that in the controls( 6 /21,29%,P < 0. 01) . Conclusion The nature and visualization feature of carotid artery plaques are closely related with the onset of stroke.