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目的:探讨超声检测老年人颈动脉粥样硬化斑块的诊断价值。方法:选择在我院就诊的军队离退休干部126例,常规进行颈动脉超声检查,重点观察粥样硬化斑块的好发部位及超声特征。结果:共发现动脉粥样硬化斑块98例,占77.8%;其中轻度狭窄57例(58.2%)、中度狭窄31例(31.6%)、重度狭窄10例(10.2%)、完全闭塞0例。共发现斑块152个(包括硬斑65个、软斑42个、扁平斑26个、溃疡斑19个),斑块好发部位依次为颈动脉分叉、颈动脉主干、颈内动脉起始、颈外动脉,斑块性质以硬斑及软斑为主,其他为扁平斑与溃疡斑。结论:超声检测颈动脉粥样硬化斑块具有较高的临床诊断价值。
Objective: To investigate the diagnostic value of ultrasonic detecting carotid atherosclerotic plaques in the elderly. Methods: A total of 126 retired cadres were selected for treatment in our hospital. Carotid ultrasound was routinely performed and the predilection sites and ultrasound features of atherosclerotic plaques were observed. Results: A total of 98 cases of atherosclerotic plaques were found, accounting for 77.8%. Among them, 57 (58.2%) had mild stenosis, 31 (31.6%) had moderate stenosis, 10 (10.2%) had severe stenosis, example. A total of 152 plaques were found (including 65 hard spots, 42 soft spots, 26 flat spots and 19 ulcer spots). The predilection sites were carotid bifurcation, carotid artery trunk and internal carotid artery , External carotid artery, plaque to hard spot and soft spot-based, the other for the flat spot and ulcer spots. Conclusion: Ultrasound detection of carotid atherosclerotic plaques has a high clinical diagnostic value.