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目的评价颈动脉超声在中青年缺血性脑卒中的应用价值。方法对95例中青年(年龄<45岁)缺血性脑卒中患者行颈动脉超声检查,并以92例同期非脑血管病患者的颈动脉超声检查作对照。结果缺血性脑卒中组颈动脉内径与对照组相比差异有统计学意义(分别P<0.001及<0.05),缺血性脑卒中组IMT增厚发生率、斑块检出率、颈动脉狭窄发生率及峰值流速(PV)与对照组相比较差异有统计学意义(均P<0.01)。结论颈动脉超声检查能确定缺血性脑血管病患者颈动脉粥样样硬化及颈动脉狭窄的程度,并提供颈动脉血流动力学参数,为动脉粥样硬化的早期预防和治疗提供客观的依据。
Objective To evaluate the value of carotid artery ultrasound in ischemic stroke in young and middle-aged patients. Methods Carotid ultrasonography was performed in 95 cases of middle-aged and younger patients (<45 years old) with ischemic stroke. Carotid ultrasonography was performed in 92 patients with non-cerebrovascular disease over the same period. Results There was significant difference in carotid artery diameter between ischemic stroke group and control group (P <0.001 and <0.05, respectively), incidence of IMT thickened, plaque detection rate, carotid artery The incidence of stenosis and peak velocity (PV) were significantly different from those of the control group (all P <0.01). Conclusion Carotid ultrasonography can determine the degree of carotid atherosclerosis and carotid artery stenosis in patients with ischemic cerebrovascular disease and provide carotid hemodynamic parameters to provide objective and early diagnosis and treatment of atherosclerosis in accordance with.