椎基底动脉延长扩张症的CT评分与合并症的关系  

作　　者：罗沛霖[1] 周毅方[1] 王海林[1] 

机构地区：[1]广州医学院附属武警广东总队医院放射科,510507

出　　处：《当代医学》2012年第36期31-32,共2页Contemporary Medicine

基　　金：2011年广州市重点科技攻关课题(11A53150703)

摘　　要：目的探讨椎基底动脉延长扩张症(VBD)的CT评分与合并症的关系。方法对2011年2月～2012年5月经临床及影像学检查确诊为椎基底动脉延长扩张症患者17例进行CT颅脑血管造影(CTA)检查,所得图像经后处理工作站分析记录后进行评分,包括基底动脉高度、偏曲度及直径。由两名医师进行对患者合并症情况进行统计,包括临床症状体征、病史、血压、血脂,颅神经压迫及出血,将其记数并与CT评分相对比。结果 VBD基底动脉高度评分1分的有5例,2分9例,3分3例。位置偏曲评分1分的有9例,2分3例,3分5例。直径4.5～8.9mm,平均(5.83±1.1)mm。患有1种合并症的有2人,同时患有2种合并症的有3人,3种的有5人,4种的有7人,CT评分与合并症数量经统计无明显相关性。结论 VBD的CT评分与患者合并症的多少无明显关联,应当引起临床注意。Objective To analyze the relation between CT scores and comorbidities in Vertebrobasilar dolichoectasia（VBD）. Methods Between Feb 2011 and May 2012, 17 cases＇of confirmed VBD underwent CT angiography（CTA）, image data were retrospectively analyzed in AW workstation and the CT scores were calculated, included the diameter, height and position of the basilar artery（BA）.The comorbidities of the patients were compared with the CT scores. Results There were 5 cases scored 1 point,9 cases scored 2 points and 3 cases scored 3 points of the height.9 cases scored 1 point,3cases scored 2 points and 5 cases scored 3 points of the position. The diameter were 4.5-8.9mm,mean 5.83±1.1mm.2 cases had only 1 cornorbidity,3cases had 2 comorbidities, 5 cases had 3 comorbidities,7 cases had 4 comorbidities, no correlation detected between the diameter, height,position of BA and the number of eomorbidity（P〉0.05）. Conclusion There were no relationships between CT scores and comorbidities in in VBD patients, and the clinician, should pay attention to this.

关 键 词：计算机断层X线成像 CT血管造影 椎基底动脉延长扩张症 CT评分 

分 类 号：R816.1[医药卫生—放射医学]