颈动脉粥样硬化斑块成分与性别的相关性研究

被引：8

作者：

马露

崔豹

韩旭

马林

蔡幼铨

蔡剑鸣

机构：

[1] 解放军总医院放射诊断科

来源：

中华老年心脑血管病杂志 | 2014年 / 16卷 / 02期

关键词：

颈动脉狭窄; 动脉粥样硬化; 磁共振成像; 性别因素;

D O I：

暂无

中图分类号：

R445.1 [超声波诊断];

学科分类号：

100207 ;

摘要：

目的探讨颈动脉粥样硬化患者斑块成分的性别差异。方法选取进行颈动脉3.0T MR高分辨扫描的颈动脉粥样硬化斑块患者154例,男性95例,女性59例,根据MR扫描结果,对斑块成分和性质进行分析,比较男、女性的斑块成分差异。结果男性斑块内富脂质坏死核(42.1%vs 20.0%,P=0.005)和薄或破裂纤维帽(59.7%vs39.5%,P=0.046)的发生率明显高于女性;女性斑块内钙化的发生率有高于男性的趋势(74.6%vs 65.3%,P=0.225),男性与女性斑块内出血发生率比较,差异无统计学意义(24.2%vs 22.0%,P=0.756)。结论颈动脉粥样硬化斑块患者中,男性不稳定斑块的发生率高于女性,这可能有助于解释脑卒中发病率的性别差异。

引用

页码：171 / 173

页数：3

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