超声在颈动脉粥样硬化斑块稳定性判断中的应用

被引：15

作者：

孟蕾

机构：

[1] 聊城职业技术学院

来源：

山东医药 | 2013年 / 53卷 / 48期

关键词：

动脉粥样硬化; 颈动脉; 硬化斑块; 超声; 诊断价值;

D O I：

暂无

中图分类号：

R445.1 [超声波诊断];

学科分类号：

摘要：

目的探讨超声在颈动脉粥样硬化(CAS)斑块稳定性判断中的应用价值。方法纳入颈动脉狭窄率≥60%并同意行颈动脉内膜剥脱术者80例,术前行超声检查并对斑块进行分型,术后对剥脱斑块进行病理检查并分型。结果术后共取得96块斑块,其中稳定型斑块57块,不稳定型39块。无症状性CAS狭窄者取得斑块55块,其中稳定型斑块43块、不稳定型斑块12块(21.8%);有症状性CAS狭窄者41块,其中稳定型斑块14块、不稳定型斑块27块(65.9%);二者不稳定型斑块比例比较,P<0.05。超声检查发现斑块96块,其中稳定型59块,不稳定型37块。超声的一致性检验结果显示,κ值为0.705。结论超声在判断颈动脉粥样硬化性斑块稳定性上与病理结果有较高的一致性。

引用

页码：56 / 57

页数：2

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