颈内动脉T型闭塞的研究进展  

Research Progress of T Type Occlusion of Internal Carotid Artery

作　　者：张译丹[1] 伊然[2] 董齐[1] 张歌[1] 程雪娇[1] 关爽[1] 李文彬[1] 高青青[2] 姜波[3] 陈本伟 赵静 唐晶[6] ZHANG Yi-dan;YI Ran;DONG Qi;ZHANG Gel;CHENG Xue-jiao;GUAN Shuang;LI Wen-bin;GAO Qing-qing;JIANG Bo;CHEN Ben-wei;ZHAO Jing;TANG Jing(Department of Neurology, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China;Department of Endocrinology, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China;Rehabilitation, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China;Ankang Central Hospital of Shaanxi, Ankang 725000, China;Harbin Second Hospital, Harbin 150026, China;Department of Neurology, the Affiliated Hospital of Jilin Medical College, Jilin 132013, China)

机构地区：[1]哈尔滨医科大学附属第一医院神经内科,哈尔滨150001 [2]哈尔滨医科大学附属第一医院内分泌科,哈尔滨150001 [3]哈尔滨医科大学附属第一医院康复科,哈尔滨150001 [4]陕西省安康市中心医院,安康725000 [5]哈尔滨市第二医院,哈尔滨150026 [6]吉林医药学院附属医院神经内科,吉林132013

出　　处：《中国临床神经科学》2018年第3期341-349,共9页Chinese Journal of Clinical Neurosciences

基　　金：国家自然科学基金(编号:81500912);黑龙江省自然科学基金(编号:H2015059);黑龙江省青年科学基金(编号:QC2011C117)

摘　　要：静脉溶栓治疗颈内动脉T型闭塞效果不佳,且临床预后较差。颅内颈内动脉闭塞具有不同的临床过程和影像学表现,颈总动脉闭塞时有部分病例可以观察到颈内动脉由代偿支供血,其临床症状较颈总动脉连带颈内动脉同时闭塞轻。使用无创影像学诊断颈内动脉闭塞有误差,诊断通常需要行血管造影检查。急性至亚急性期重复血管成像检查确定颈内动脉闭塞对启动二级预防至关重要。因此,深入了解颈内动脉T型闭塞的病因、临床表现、治疗及预后具有重要临床意义。T-occlusion of the internal carotid artery responds poorly to intravenous thrombolysis and signals poor clinical outcomes.Intracranial internal carotid artery occlusion has different clinical processes and imaging findings.Internal carotid artery compensatory branch of blood supply can be observed in some common carotid artery occlusion cases,the severity of the clinical symptoms was less than that of the common carotid artery with internal carotid artery.There is error in use of noninvasive imaging to diagnose internal carotid artery occlusion,so angiography is often required in diagnosis.In acute to sub-acute phase,the repeat angiography is essential todetermine the internal carotid artery occlusion on the start of secondary prevention.It is very important to explore deeply the cause of T-carotid artery occlusion and its clinical manifestations and prognosis.

关 键 词：颈内动脉T型闭塞 神经影像学 脑卒中 侧支代偿 血管再通 

分 类 号：R743[医药卫生—神经病学与精神病学]