International Journal of Clinical Research. 2021; 5: (4) ; 10.12208/j.ijcr.20210034 .
*通讯作者： 张正义,单位：兰州大学第二医院全科医学科 甘肃兰州；
冠状动脉粥样硬化性疾病（CAD）的发病率和死亡率在世界范围内逐年增加。早期发现、预防高危CAD，尤其是不典型患者，对减少心血管相关疾病死亡率、致残率至关重要。颈动脉超声是检测临床动脉粥样硬化和识别CAD的一种无创且敏感的筛查方法。常用的评估指标有颈动脉内膜中层厚度、斑块厚度、斑块积分、斑块长度、斑块面积等已被证明与 CAD 相关，但目前关于哪种颈动脉超声参数是CAD的最佳评估指标尚未达成共识。本文将对颈动脉斑块特征对CAD评估价值的研究进展做一综述。
The incidence and mortality of coronary atherosclerotic disease (CAD) is increasing year by year worldwide. Early detection and prevention of CAD, especially in atypical patients, is essential to reduce cardiovascular-related death. Carotid ultrasound is a noninvasive and sensitive screening method for detecting subclinical atherosclerosis and identifying CAD. Commonly used evaluation indicators include carotid intima-media thickness, plaque thickness, plaque score, plaque lengthandplaque areahave been shown to be associated with CAD, but there is no consensus on which carotid ultrasound parameter is the best evaluation indicator of CAD. This article will review the research progress on the value of carotid plaque characteristics in the evaluation of CAD.
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