摘要
目的通过分析缺血性脑血管病与颅内外血管狭窄的相关性,指导脑血管病的治疗和预防。方法通过颈部血管超声及经颅多普勒超声检测颅内外血管硬化程度,结合患者病史、头颅CT、MRI及生化综合分析。结果108例患者中颅内血管狭窄35例,占32.41%,颅外血管狭窄21例,占19.44%,血管狭窄使缺血性脑血管病发病次数增高。低密度脂蛋白(LDL)增高是颅外段血管狭窄的独立危险因素。结论颅内外血管狭窄是导致缺血性脑血管病的重要原因,血管超声应作为常规检查手段之一。
Objective To direct the therapy and the prevention of cerebrovascular disease by analyzing the relationship between the stenosis of intracranial or extracranial arteries and the ischemic stroke. Methods The arteriosclerosis of intracranial and extracranial arteries was detected by Ultrasonic Cardiogram（UCG） and transcranial Doppler （TCD）. The comprehensive analysis was done including patients＇ disease history, cranial compute tomograpby, magnetic resonance imaging （MRI）and biochemical parameters. Results Among all the 108 patients, 35 cases （32.41%） with the stenosis of intracranial arteries and 21 cases （19.44%） with the stenosis of extracranial arteries were discovered. The relapse time of cerebrovascular diseases increased with the stenosis of arteries. The high low density lipoprotein （LDL） was the independent risk factor for the stenosis of extracranial ateries. Conclusions The important cause of ischemic cerebrovascular ischema is the stenosis of intracranial or extracranial arteries, and blood vessels ultrasound should become one of the routine examinations in cerebrovascular disease patients.
出处
《北京医学》
CAS
2006年第8期464-466,共3页
Beijing Medical Journal
关键词
颈部血管超声
脑血管病
动脉粥样硬化
Carotid vessels ultrasound Cerebrovascular disease Arteriosclerosis
