自发性脑出血的头颈部CTA研究  

The study of craniocervical CTA in spontaneous intracerebral hemorrhage

作　　者：张丽萍[1] 唐秉航[1] 李良才[1] 何亚奇[1] 吴任国[1] 

机构地区：[1]广东省中山市人民医院CT室,广东528403

出　　处：《放射学实践》2014年第11期1278-1281,共4页Radiologic Practice

摘　　要：目的：探讨自发性脑出血患者颈部动脉粥样硬化危险因素及头颈部 CTA 检查的意义。方法：回顾性分析343例行头颈部CTA检查的自发性脑出血患者的临床及CTA影像学资料。采用logistic回归分析ICH 患者颈部动脉粥样硬化的危险因素，并评价头颈部CTA检查在自发性ICH 患者中的应用价值。结果：343例患者中，154例（44．9％）合并颈部动脉粥样硬化。患者的年龄、高血压病史是自发性脑出血患者颈部动脉粥样硬化的危险因素，OR值（95％ CL）分别为1．084（1．060～1．110）、1．957（1．018～3．761）。62岁以上且有高血压的自发性脑出血患者颈部动脉粥样硬化的检出率高于其它各组。结论：头颈部CTA在62岁以上、有高血压的自发性脑出血患者可作为常规的检查方法。Objective：To investigate the risk factors of carotid atherosclerosis and the value of craniocervical CTA in spontaneous intracerebral hemorrhage （ICH）.Methods：The clinical materials and CTA images of 343 patients with sponta-neous ICH undergone craniocervical CTA were analyzed retrospectively.The risk factors of carotid atherosclerosis were an-alyzed with logistic regression and the application value of craniocervical CTA in spontaneous ICH were evaluated.Results：Carotid atherosclerosis was detected in 154 patients （44.9%）.Age and hypertension were proved to be risk factors of carot-id atherosclerosis in spontaneous ICH,and the OR values （95% CI）were 1.084 （1.060~1.110）and 1.957 （1.018~3.761）respectively.The incidence rate of carotid atherosclerosis was higher in the patients over 62 years old than in the other patients.Conclusion：Craniocervical CTA can be used as a conventional examination for the patients with spontaneous ICH who are older than 62 years and with hypertension.

关 键 词：脑出血 颈动脉 动脉粥样硬化 CT血管成像 体层摄影术 X线计算机 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R816.2[医药卫生—临床医学]