目的:分析研究颈部血管彩超诊断动脉硬化性脑梗死的临床价值。方法:选择2011年4月至2012年4月我院收治的动脉硬化性脑梗死患者51例作为观察组,另选同期健康体检者及住院的非脑血管病患者51例作为对照组,两组患者诊断均采用彩色多普勒超声诊断仪,观察记录两组患者诊断结果。结果:两组颈动脉粥样硬化IMT增厚发生率,斑块发生率和软斑发生率比较差异有统计学意义(P<0.05);观察组患者中,轻度狭窄3例,中度狭窄5例,重度狭窄5例,1例管腔闭塞,对照组均无狭窄闭塞的发生。结论:多普勒超声诊断仪检查颈动脉血管对动脉硬化性脑梗死诊断有重大意义,早期发现颈动脉粥样硬化及了解血管狭窄对预防或治疗脑梗死的发生至关重要。 Objective: To analyze the clinical value of cervical vascular ultrasound in the diagnosis of arteriosclerotic cerebral infarction. Methods: From April 2011 to April 2012, 51 patients with arteriosclerotic cerebral infarction admitted to our hospital were selected as the observation group and 51 healthy non-cerebrovascular patients with the same period of health examination and hospitalization were selected as the control group. Two groups Patients were diagnosed by color Doppler ultrasound diagnostic records were recorded two groups of patients diagnosis. Results: The incidence of carotid atherosclerosis IMT thickening, plaque incidence and the incidence of soft plaque in two groups were statistically significant (P <0.05); in the observation group, mild stenosis in 3 cases, moderate stenosis 5 cases, 5 cases of severe stenosis, 1 case of lumen occlusion, no occlusion occured in the control group. Conclusion: Doppler ultrasonic examination of carotid arteries for the diagnosis of arteriosclerotic cerebral infarction is of great significance, early detection of carotid atherosclerosis and understanding of vascular stenosis is essential for the prevention or treatment of cerebral infarction.