大脑中脑动脉供血区急性脑梗死病灶类型与进展性脑梗死的关系  

Association between infarction types caused by ischemic middle cerebral artery and progressive cerebral infarction

作　　者：李建设[1] 车振勇[1] 王慧敏[1] 

机构地区：[1]河南新乡市中心医院,新乡453000

出　　处：《中国实用神经疾病杂志》2017年第5期31-33,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨大脑中动脉供血区急性脑梗死病灶类型及其与进展性脑梗死的关系。方法回顾性分析140例大脑中动脉供血区急性脑梗死患者病历资料及脑MRI、DWI、MRA影像资料,其中进展组71例,非进展组69例。结果 2组脑梗死类型均可见流域性脑梗死、分水岭脑梗死、纹状体内囊梗死、腔隙性梗死,进展组以分水岭脑梗死(45.1%)、纹状体内囊梗死(46.5%)为主,非进展组以流域性脑梗死(44.9%)为主,2组脑梗死病灶类型比较,差异有统计学意义(χ~2=24.829,P<0.01)。结论大脑中动脉供血区急性分水岭脑梗死、纹状体内囊梗死易表现为进展性脑梗死。Objective To investigate the association between the infarction type caused by ischemic middle cerebral artery and progressive cerebral infarction.Methods Clinical data and imaging data of brain MRI,DWI and MRA from 140 cases with acute cerebral infarction caused by ischemic middle cerebral artery were retrospectively analyzed.There were 71 cases in progressive group and 69 in non-progressive group.Results The both two groups showed territorial infarction(TI),watershed infarction(WI),striatocapsular infarction(SCI)and lacunar infarction(LI).In addition,WI(45.1%)and SCI(46.5%)were the dominant types in progressive group,while TI(44.9%)was the main type in non-progressive group,which showed significant difference between two groups(χ~2=24.829,P<0.01).Conclusion Acute WI and SCI caused by ischemic middle cerebral artery may be prone to present progressive cerebral infarction.

关 键 词：大脑中动脉 脑梗死 进展性 磁共振弥散成像 

分 类 号：R743.33[医药卫生—神经病学与精神病学]