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超声检测股动脉、腹主动脉及颈动脉粥样硬化与冠状动脉粥样硬化的相关性

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第4期
页码:
464-467
栏目:
临床研究
出版日期:
2012-08-25

文章信息/Info

Title:
Ultrasound study on correlation between atherosclerosis of femoral artery, abdominal aorta and carotid artery and coronary atherosclerosis
作者:
孙建群; 刘 颖
(大连医科大学附属第二医院超声科，辽宁 大连 116027)
Author(s):
SUN Jian-qun;  LIU Ying
(Department of Ultrasound, Second Affiliated Hospital, Dalian Medical University, Dalian 116027, Liaoning, China)
关键词:
股动脉; 腹主动脉; 颈动脉; 冠状动脉; 动脉粥样硬化; 超声
Keywords:
femoral artery;  abdominal aorta;  carotid artery;  coronary artery;  atherosclerosis;  ultrasound
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:探讨股动脉、腹主动脉及颈动脉粥样硬化与冠状动脉粥样硬化的相关性。方法： 采用高频超声测量109例行冠状动脉造影术后1周的患者股动脉、腹主动脉及颈动脉的内-中膜厚度（IMT）、斑块积分及斑块数目。结果： 股动脉、腹主动脉及颈动脉粥样硬化与冠状动脉粥样硬化呈正相关（P<0.01、P<0.05）；股动脉斑块预测冠状动脉粥样硬化的灵敏度为89%，特异度为77%，准确度84%；腹主动脉斑块预测冠状动脉粥样硬化的灵敏度为73%，特异度为72%，准确度72%；颈动脉斑块预测冠状动脉粥样硬化的灵敏度为83%，特异度为79%，准确度82%。结论： 超声检查股动脉、腹主动脉及颈动脉IMT及斑块可间接预测不同程度的冠状动脉粥样硬化；股动脉的灵敏度与准确度较腹主动脉更好。
Abstract:
AIM:To explore the correlation between atherosclerosis of femoral artery, abdominal aorta and carotid artery and coronary atherosclerosis using ultrasound. METHODS: The film thickness within (IMT, intima-media thickness), patch integral and plaque numbers of the femoral artery, abdominal aorta and carotid artery were measured by ultrasound in 109 patients 1 week after coronary angiography. RESULTS: Atherosclerosis of the femoral artery, abdominal aorta and carotid artery were positively correlated with coronary atherosclerosis (P<0.01, P<0.05). Sensitivity of the femoral artery plaque and coronary atherosclerosis was 88.6% and specificity was 76.9%. Sensitivity of abdominal aorta plaque and coronary atherosclerosis was 72.9% and specificity was 71.8%. Sensitivity of carotid artery plaque and coronary atherosclerosis was 82.9% and specificity was 79.5%. CONCLUSION: Ultrasonic imaging and detection of the femoral artery, abdominal aorta and carotid artery IMT and plaque can indirectly predict the different degrees of coronary atherosclerosis.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2012-01-05.通讯作者：刘颖，教授，主要从事腹部及小器官的超声诊断研究Email：dy2ytjzx@163.com 作者简介：孙建群，硕士生Email:535257484@qq.com
更新日期/Last Update: 2012-07-20