缺血性脑血管病患者数字减影血管造影的研究  

Study of digital subtraction angiography in patients with ischemic cerebrovascular disease

作　　者：李美英[1] 夏峰[1] 丁绍青[1] 苏建华[1] 汤华萍[1] 陈炼[1] 凤兆海[1] 毕茂芳[1] 郑颖伟[1] 陶开香[1] 

机构地区：[1]东南大学医学院附属马鞍山市人民医院神经内科,马鞍山243000

出　　处：《临床神经病学杂志》2008年第6期419-421,共3页Journal of Clinical Neurology

摘　　要：目的应用数字减影血管造影(DSA)探讨缺血性脑血管病(ICVD)患者脑血管病变的特点。方法对84例ICVD患者[其中脑梗死(CI)50例、椎-基底动脉供血不足(VBI)21例、短暂性脑缺血发作(TIA)13例]进行DSA检查,对颅内外病变血管的分布、血管狭窄程度及侧支循环代偿情况进行分析。结果本组84例ICVD患者中,血管狭窄的检出率为82.1%(69例);检出颅内外病变血管166条,以前循环(59.6%)以及颅内动脉(66.9%)受累为主,单条血管病变的发生率以颈内动脉颅外段最高(21.7%);狭窄程度1～4级的血管分别占27.1%、40.4%、6.6%及25.9%;58.0%的CI患者、33.3%的VBI患者和23.1%的TIA患者出现Willis环侧支循环代偿。结论DSA可准确评价ICVD患者颅内外病变血管的分布、狭窄程度以及侧支循环代偿情况,为临床治疗提供依据。Objective To investigate the characteristics of cerebrovascular lesion by aortocranial digital subtraction angiography(DSA) in patients with ischemic cerebrovascular disease (ICVD). Methods The distribution of lession vasels ,stenosis degree and compensatory condition of collateral circulation of intra-extracranial vascular were detected by DSA and anlysed in 84 patients with ICVD [including 50 cases of cerebral infarction(CI),21 cases of vertebro-basilar artery insufficiency(VBI) and 13 cases of transient ...

关 键 词：数字减影血管造影 缺血性脑血管病 

分 类 号：R743.3[医药卫生—神经病学与精神病学]