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应用超声背向散射积分评价高脂血症患者颈动脉粥样硬化

Evaluation of quantitative ultrasonic integrated backscatter on carotida therosclerosis in hyperlipemia patients

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【作者】 王宝华王海燕王娟左晓文林春梅刘勇杨爽

【Author】 WANG Bao-hua~1,WANG Hai-yan~ 1* ,WANG Juan~2,ZUO Xiao-wen~1,LIN Chun-mei~3,LIU Yong~1,YANG Shuang~1 (1.Department of Electrodiagnosis,First Hospital, Jilin University, Changchun 130021,China; 2.Department of Electrodiagnosis, China-Japan Union Hospital, Jilin University ,Changchun 130033, China; 3. Department of Electrodiagnosis, Nanling Hospital, Jilin University ,Changchun 130025, China)

【机构】 吉林大学第一医院电诊科吉林大学中日联谊医院电诊科吉林大学第一医院电诊科 吉林长春130021吉林长春130021吉林长春130033

【摘要】 目的:探讨超声背向散射积分(IBS)技术对高血脂患者早期动脉粥样硬化(atherosclerosis,AS)的诊断价值。方法:对98例中青年高血脂(高血脂组)患者和51例正常人(正常组)的颈动脉多部位多点进行IBS检测。结果:高血脂组颈动脉窦部(CSA)及颈内动脉(ICA)处C-IBS均低于正常组(P<0·05),高血脂组与正常组颈总动脉(CCA)处C-IBS比较差异无显著性(P>0·05)。高血脂组颈动脉不同部位即CSA与CCA、CSA与ICA处C-IBS比较差异均有显著性(P<0·05);正常组内CSA与CCA、CSA与ICA处C-IBS比较差异均无显著性(P>0·05)。结论:IBS技术可以反映血管壁的组织结构改变,为临床提供一种新的、无创性、简便易行的检测早期AS的方法。

【Abstract】 Objective To explore the diagnostic value of integrated backscatter (IBS) technique for carotid artery atherosclerosis (AS) in hyperlipemia patients.Methods The calibrated IBS (C-IBS, C-IBS=intima-media IBS-adventitia IBS) was used to detect the carotid intima-media in the different section in 51 normal controls and 98 patients with hyperlipemias. Results The C-IBS in hyperlipemia group was lower than that in normal control, there significant difference of C-IBS between carotid sinus artery( CSA) and internal carotid artery (ICA)(P<0.05), the C-IBS of common carotid artery(CCA) in hyperlipemia group was lower than that in normal control, but no significant differentce(P>0.05).In hyperlipemia group ,there were significant differences of C-IBS between CCA, CSA and ICA (P<0.05); and there were no significant differences of C-IBS between CSA and CCA, CSA and ICA (P>0.05). Conclusion IBS technigue can reflect the changes of tissue structure of vascular wall and provide a new ,no invasive and feasible method to evaluate AS early.

【基金】 吉林省科技发展计划资助课题(20050409-2)
  • 【文献出处】 吉林大学学报(医学版) ,Journal of Jilin University(Medicine Edition) , 编辑部邮箱 ,2006年05期
  • 【分类号】R589.2
  • 【被引频次】7
  • 【下载频次】44
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