老年无症状性脑梗死患者影像学改变与颈动脉粥样硬化的关系  

Relationship between imaging changes and carotid artery atherosclerosis in elder patients with silent cerebral infarction

作　　者：季燕[1] 崔可飞[2] 詹三华[1] 

机构地区：[1]武警河南总队医院神经内科,郑州450052 [2]郑州大学第一附属医院超声科,郑州450052

出　　处：《郑州大学学报（医学版）》2007年第5期919-921,共3页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的:探讨老年无症状性脑梗死(SCI)患者影像学改变与颈动脉粥样硬化的关系。方法:对108例老年无症状性脑梗死患者进行头颅核磁共振检查(MRI)和颈部动脉彩色多普勒超声检查,根据影像学显示病灶部位将研究对象分为侧脑室旁组和皮质下白质病灶组,同时进行病变损害程度分级,测定各组颈动脉中内膜厚度(IMT值)和血管狭窄程度,并进行统计学分析。结果:侧脑室旁病灶组较皮质下白质病灶组颈动脉IMT值高(F=6.32,P<0.05),颈动脉狭窄程度更严重(χ2=13.41,P<0.05)。结论:SCI患者侧脑室旁病变与颈动脉粥样硬化、颈动脉狭窄关系密切。Aim： To investigate the relationship between imaging changes and carotid artery atherosclerosis in elder patients with silent cerebral infarction （SCI）. Methods： A total of 108 elder patients with SCI accepted MRI and color Doppler of carotid artery examination, and were divided into 2 groups according to the focus position. The IMT and stenosis degree of carotid artery of the 2 groups were compared. Results： IMT values and stenosis degree of lateral cerebral ventricle group were higher than that of subcortex group. ConclusioN： Lateral cerebral ventricle focus may have closer relationship with carotid artery atherosclerosis and stenosis.

关 键 词：无症状性脑梗死 颈动脉 动脉粥样硬化 

分 类 号：R743.2[医药卫生—神经病学与精神病学]