DSA对缺血性卒中并椎基底动脉延长扩张症患者的临床应用价值  

Clinical application value of DSA for patients with ischemic stroke complicated by vertebrobasilar dolichoectasia

作　　者：任志军 李孟修 王丹 王艳竹 Ren Zhijun;Li Mengxiu;Wang Dan;Wang Yanzhu(Deaprtment of Neurology,Jiangmen People's Hospital,Jiangmen 529000,China)

机构地区：[1]广东省江门市人民医院神经内科,529000

出　　处：《中国实用医刊》2018年第23期16-18,共3页Chinese Journal of Practical Medicine

基　　金：广东江门市科技局第二批医疗卫生领域科技计划项目(2017A1004).

摘　　要：目的探究数字减影血管造影(DSA)对缺血性卒中并椎基底动脉延长扩张症(VBD)患者的临床价值。方法选择2017年3月至2018年5月于江门市人民医院治疗的100例缺血性脑卒中并VBD患者作为研究对象。所有患者均接受DSA检查,观察并记录缺血性卒中并VBD患者的检查结果。结果100例缺血性卒中并VBD患者经DSA检查椎基底动脉显影良好,呈明显迂曲扩张,椎基底动脉管径为4.5~18.0mm,椎动脉长度为20.0~35.0mm,基底动脉长度25.0~50.0mm,椎基底动脉偏移距离3.0-18.0mm。34例单纯基底动脉病变,66例椎动脉与基底动脉联合病变,其中17例合并动脉瘤;73例患者基底动脉流速缓慢,其中22例为局部对比剂滞留原因所致,4例合并囊性动脉瘤,4例合并血管夹层。结论对缺血性卒中并VBD患者采用DSA检查,可清晰显示椎基底动脉病变形态与走向,观察变异血管内血流动力学变化,提高疾病检出率,为治疗方案的选择提供可靠依据。Objective To investigate the clinical value of digital subtraction angiography (DSA) for patients with ischemic stroke complicated by vertebrobasilar dolichoectasia (VBD).Methods A total of 100 patients with ischemic stroke complicated by VBD who were treated in Jiangmen People's Hospital from March 2017 to May 2018 were selected as research objects.All enrolled patients underwent DSA,and the examination results were observed and recorded.Results The 100 patients with ischemic stroke and VBD had good vertebral basilar artery visualization by DSA,showing obvious tortuosity, vertebral basilar artery diameter 4.5-18.0mm,vertebral artery length 20.0-35.0mm,basilar artery length 25.0-50.0mm.It also showed that the vertebral basilar artery offset distance was 3.0-18.0 mm.Thirty-four were with simple basilar artery disease;66 cases were with vertebral artery and basilar artery combined lesions,of which 17 cases were complicated by aneurysm:Seventy-three cases had slow basilar artery flow,of which 22 cases were caused by local contrast agent retention,4 cases were with cystic artery tumor,and 4 cases were complicated by vascular dissection.Conclusions DSA examination for patients with ischemic stroke and VBD can clearly show the morphology and direction of vertebrobasilar artery disease,by vohich it is easy to observe the hemodynamic changes in the varicose vessels and improve the detection rate of disease,so that it can provide a reliable basis for the choice of treatment options.

关 键 词：缺血性卒中 椎基底动脉延长扩张 数字减影血管造影 

分 类 号：R743.3[医药卫生—神经病学与精神病学]