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脑梗死患者颈动脉粥样硬化斑块应变成像研究

郭莉 程令刚 何文 李明秋

中国卒中杂志2019,Vol.14Issue(1):38-42,5.
中国卒中杂志2019,Vol.14Issue(1):38-42,5.DOI:10.3969/j.issn.1673-5765.2019.01.007

脑梗死患者颈动脉粥样硬化斑块应变成像研究

X-strain Imaging Characteristics of Carotid Atherosclerostic Plaques in Patients with Cerebral Infarction

郭莉 1程令刚 2何文 2李明秋3

作者信息

  • 1. 100070 北京首都医科大学附属北京天坛医院神经病学中心
  • 2. 首都医科大学附属北京天坛医院超声科
  • 3. 首都医科大学附属北京朝阳医院超声科
  • 折叠

摘要

Abstract

Objective To investigate the value of X-strain imaging (XS) in evaluating carotid plaque motility in patients with cerebral infarction. Methods 26 cerebral infarction patients with carotid atherosclerotic plaques identified by carotid ultrasound from March 2015 to February 2016 were enrolled in cerebral infarction group, and 24 non-stroke patients with carotid atherosclerotic plaques as the control group. Both groups were all examined by X-strain imaging and carotid ultrasound. The strain and movement characteristics of carotid plaques in different positions were compared between the two groups. Results There was no significant difference in carotid plaque size between the two groups by conventional ultrasound. XS results showed that the strain and movement of the plaques between the two groups had significant difference. The movement of plaque in proximal shoulder was more obvious than that in distal shoulder in cerebral infarction group, the transverse movement speed [(0.25±0.07) cm/s vs (0.15±0.05) cm/s] and displacement [(0.28±0.10) mm vs (0.17±0.05) mm] in proximal and distal subgroups also had significant difference. The strain in the top [(2.75±1.01)%] was lower than that in proximal shoulder [(4.43±1.08)%] and distal shoulder [(4.23±1.24)%], the difference was statistically significant. Conclusions The strain and movement of carotid plaques in patients with cerebral infarction are more obvious, and the plaques vulnerability is high.

关键词

脑梗死/颈动脉斑块/应变成像/超声/运动

Key words

Cerebral infarction/Carotid plaque/X-strain imaging/Ultrasound/Movement

引用本文复制引用

郭莉,程令刚,何文,李明秋..脑梗死患者颈动脉粥样硬化斑块应变成像研究[J].中国卒中杂志,2019,14(1):38-42,5.

基金项目

首都卫生发展科研专项项目(首发2016-1-2041)北京市科技计划重大项目(D131100002313002)北京市医院管理局临床技术创新项目(XMLX201712)重大慢性非传染性疾病防控研究(2017YFC1307702) (首发2016-1-2041)

中国卒中杂志

OACSTPCD

1673-5765

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