中青年冠状动脉粥样硬化患者颈动脉硬化的超声特征

目的 探讨中青年冠状动脉粥样硬化（CHD）患者颈动脉超声特征。方法 根据冠状动脉造影结果，将我院170例患者分为CHD组105例和对照组65例，再将CHD组分为单支病变组32例、双支病变组34例和三支病变组39例。所有患者年龄均在60岁以下，全部受检者行颈动脉彩色多普勒超声检查，运用统计软件分析所检测的颈动脉声像图参数。结果 中青年冠状动脉粥样硬化患者颈动脉斑块60%为中低回声斑块。CHD组颈动脉内中膜厚度、IMT增厚率及斑块检出率均高于对照组，三支病变组斑块检出率高于单支病变组，颈动脉IMT情况与

Ultrasound Characteristics of Carotid Atherosclerosis in Young and Middle-aged Patients with Coronary Atherosclerosis

Objective To investigate the characteristics of carotid ultrasound in young and middle-aged patients with coronary atherosclerosis (CHD). Methods According to the results of coronary angiography, 170 patients in our hospital were divided into CHD group 105 cases and control group 65 cases. CHD components were 32 cases in single-vessel disease group, 34 cases in double-vessel disease group and 39 cases in three-vessel disease group. example. All patients were under the age of 60. All subjects underwent carotid color Doppler ultrasonography. Statistical software was used to analyze the carotid sonographic parameters. Results 60% of carotid plaques in young and middle-aged patients with coronary atherosclerosis were moderate to low echo plaques. Carotid intima-media thickness, IMT thickening rate and plaque detection rate in CHD group were higher than those in control group. The detection rate of plaque in three-vessel disease group was higher than that in single-vessel disease group, carotid IMT condition and coronary artery disease branch The number was correlated, and the number of column C was 0.48 (P<0.05). The incidence of carotid plaque was closely related to the condition of CHD. The number of association C was 0.722 (P<0.05). Conclusion The plaques of young and middle-aged patients with coronary atherosclerosis are mostly hypoechoic. The carotid intima and plaque are significantly correlated with the number of coronary atherosclerotic lesions.