缺血性脑血管病患者数字减影血管造影分析  

Analysis of Digital Subtraction Angiography in Ischemic Cerebrovascular Disease

作　　者：张茹[1] 张桂莲[1] 吴海琴[1] 王虎清[1] 杨新利[1] 戴社教[2] 张尚军[2] 祁晓江[2] 

机构地区：[1]西安交通大学医学院第二附属医院神经内科,陕西西安710004 [2]西安交通大学医学院第二附属医院放射科,陕西西安710004

出　　处：《实用放射学杂志》2010年第10期1410-1413,共4页Journal of Practical Radiology

摘　　要：目的 分析缺血性脑血管病患者脑供血动脉狭窄或闭塞的发生与性别和年龄的关系.方法 对278例缺血性脑血管病（ICVD）患者行DSA,按不同性别和年龄分组后分析脑供血动脉血管异常、血管狭窄部位和程度、责任血管等的比例.结果 随年龄增长血管异常发生率增加,以70~80岁组为最高达82.1%（男,23/28）和76.9%（女,10/13）,表现为血管狭窄或闭塞;年轻组以烟雾病和其他异常为多,40~49岁组烟雾病发病率为高达20.0%（男,5/25）和23.1% （女,3/13）.颅外血管狭窄随年龄增加而增加,70~80岁最高50.0%（男,14/28）和38.7%（女,5/13）;颅内血管狭窄在女性组随年龄增加而增加,70~80岁组达30.8%（女,4/13）;而男性组可见年轻患者比例较高,26~39岁组达36.4%（男,4/11）.狭窄严重程度随年龄增长而增加.多组显示女性组血管狭窄比例较男性组为低.责任血管比例为60.0%~100%.结论 ICVD患者DSA显示颅内外血管状态分布随不同年龄和性别组不同,提示可能病因不同, 并且ICVD患者应尽早行DSA.Objective To investigate the relationship between the angiographic characteristics of cerebral arterial stenosis or occlusion and the age,sex in patients with ischemic cerebrovascular disease[ICVD]. Methods 278 patients with ICVD confirmed by digital subtraction angiography {DSA} were divided into groups by the age and sex. The cerebral arterial stenosis or occlusion, its location and severity degree, guilty artery were identified in different groups. Results The incidence of abnormal cerebral artery was increased with aging. The highest incidence of cerebral arterial stenosis or occlusion was in 70% 80-year-old group and 82. 1 % in men and 76.9% in women. The high incidence of Moyamoya disease was found in younger--aged groups （40-49 years old } , which was 20.0% in men and 23.1% in women. The incidence of extracranial artery stenosis was increased with aging,the highest was 50.0 % in men and 38.7 % in women in 70 % 80- year--old group. The incidence of intracranial artery stenosis was increased with aging in female groups,the highest was 30. 8% in women in 70%80--year--old group,but the highest in men was 36.4M in the younger 26%39--year--old group. The severity degree was increased with aging. The incidence and severity of arterial stenosis were lower in female groups. 60.0% to 100% of the abnormal arteries were guilty arteries. Conclusion The distribution of the cerebral artery stenosis or occlusion in patients with ICVD are varied with age and sex. It is suggested that the causes With ICVD in different age and sex patients should be different,and DSA should be done early in ICVD patients.

关 键 词：脑 缺血性脑血管病 数字减影血管造影 

分 类 号：R743[医药卫生—神经病学与精神病学] R814.43[医药卫生—临床医学]