磁共振血管造影诊断脑梗死患者颅内动脉硬化程度的探讨  

Role of magnetic resonance angiography in the diagnosis of intracranial artery in the patients with cerebral infarction atherosclerosis

作　　者：尚进[1] 杜静[1] 

机构地区：[1]南京医科大学附属淮安第一医院神经内科,江苏省淮安市223300

出　　处：《实用老年医学》2014年第12期1020-1022,共3页Practical Geriatrics

摘　　要：目的探讨脑梗死(CI)患者采取磁共振血管造影(MRA)诊断颅内动脉硬化程度的效果。方法将我院2012年1月至2014年1月接诊的CI患者112例作为研究对象,皆采取MRA进行诊断,诊断后的CI患者根据Adams分类法分为3组,其中大梗死42例,作为A组;小梗死39例,作为B组;腔隙性梗死31例,作为C组。对比分析3组诊断结果,包括动脉梗死程度与血管改变情况。结果 3组动脉硬化程度比较显示,动脉硬化程度差异均有统计学意义,其中C组重度率明显低于B组与A组,同时B组重度率也明显低于A组(P均<0.05);3组血管改变情况也有显著性差异,其中A组动脉闭塞率明显高于B组与C组,而且B组血管闭塞率也明显高于C组(P均<0.05)。结论 MRA诊断CI患者,能通过动脉闭塞情况来反映出患者动脉硬化程度,有很高的临床诊断价值。Objective To discuss the value of magnetic resonance angiography in the diagnosis of intracranial arterystenosis degree in the patients with cerebral infarction（CI）. Methods A total of 112 cases of cerebral infarction in ourhospital from January 2012 to June 2014 receiving magnetic resonance angiography were enrolled. According to Adams clas-sification, the patients were divided into three groups, group A including 31 cases of large infarction, group B including 39 cases of small infarction, group C including 42 cases of lacunar infarction. The diagnosis results of three groups were ana-lyzed, including arterial infarction and vascular changes. Results The severe rate of group C was lowest, followed bygroup B and group C（P〈0. 05）. The artery occlusion rate of group A was highest, followed by group B and group C（P〈0. 05）. Conclusions Magnetic resonance angiography could reflect the degree of arteriosclerosis by the situation of arte-rial occlusion, which has a high clinical diagnosis value for cerebral infarction.

关 键 词：脑梗死 磁共振血管造影 颅内动脉 硬化程度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]