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机构地区:[1]南京军区南京总医院医学影像科,南京210002
出 处:《医疗卫生装备》2012年第11期73-74,共2页Chinese Medical Equipment Journal
基 金:国家自然科学基金项目(30800264)
摘 要:目的:探讨分析核磁共振(MRI)联合数字减影脑血管造影(DSA)在基底动脉尖综合征(TOBS)诊断及治疗中的应用价值。方法:对某院自2009年3月至2011年6月收治的30例TOBS患者的MRI和DSA检查资料进行回顾性分析,观察MRI显示的病变部位的分布范围和DSA显示的椎-基底动脉血管结构。结果:梗死部位主要有中脑、丘脑、枕叶、脑桥、颞叶内侧面、胼胝体压部、基底节、侧脑室旁等。其中23例出现3处及以上病灶(23/30,76.7%),7例出现2处病灶(7/30,23.3%);20例出现双侧病灶(20/30,66.7%),10例为单侧病灶(10/30,33.3%)。DSA检查显示椎-基底动脉血管异常,多表现为基底动脉(BA)、大脑后动脉(PCA)、椎动脉(VA)、小脑后下动脉(SCA)的狭窄或未显影。结论:MRI联合DSA检查可以为临床提供较为完整的诊断信息,能够作为TOBS筛选的诊断方法。Objective To explore the diagnosis and treatment application of MRI and DSA on top of the basilar syndrome (TOBS).Methods Thirty TOBS cases accepted since March 2009 to June 2011 were chosen to undergo MRI and DSA inspection. Data were retrospectively analyzed so as to observe the distribution range of pathological change, the void flow of vertebral or basilar artery and the structure of vertebral of basilar artery. Results The infarction laid in such parts as midbrain, thalamus, occipital lobe, pons, medial temporal lobe, corpus callosum, basal ganglia, lateral side, etc. Twenty- three cases showed three or more infractions and 7 cases showed two infractions. There were 20 cases with symmetrical infraction (20/30, 66.7%) and 7 cases with unilateral infarction (10/30, 33.3%). DSA indicated the abnormal performance in vertebral and basilar artery, in which most were the stenosis or undeveloped of basilar artery(BA), posterior cerebral artery (PCA), vertebral artery (VA) and posterior inferior eerebellar artery (SCA). Conclusion The combined inspection by MRI and DSA may provide comprehensive information for clinician and can be used as the preferred TOBS screening and diagnostic method.
分 类 号:R445.2[医药卫生—影像医学与核医学] R445.9[医药卫生—诊断学]
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