选择脑微出血与椎-基底动脉形态在脑干梗死中的相关性研究  

Choosing cerebral microhemorrhage and the correlation of vertebrobasilar artery morphology in brainstem infarction

作　　者：侯晓强[1] 李壬子[1] Hou Xiaoqiang;Li Renzi(Department of Neurology,the Kailuan General Hospital,Tangshan City,Hebei 063000,China)

机构地区：[1]唐山市开滦总医院神经内科,河北063000

出　　处：《脑与神经疾病杂志》2019年第3期186-188,共3页Journal of Brain and Nervous Diseases

摘　　要：目的选择脑微出血与椎-基底动脉形态在脑干梗死中的相关性研究。方法从本院选择92例脑干梗死患者采用MRI与SWI进行检查,并根据检查结果分为阴性组与阳性组,对比两组患者的椎-基底动脉形态特点,并就脑微出血与椎-基底动脉形态的相关性进行分析。结果阴性组与阳性组在基底动脉迂曲、椎动脉狭窄、基底动脉狭窄以及椎动脉发育不良方面差异明显(P<0.05);阳性组椎-基底动脉异常发生率比阴性组高,P<0.05。结论脑干梗死患者大多伴有椎-基底动脉形态异常,从而提高了脑微出血的发生率。此外,基底脑微出血与基底动脉延长、椎动脉发育不良具有极为密切的联系。Objective To study the relationship between brain microbleeds and vertebrobasilar arterial morphology in brain stem infarction. Method Select 92 cases of brain stem infarction patients from our hospital by MRI and SWI examination, and according to the test results were divided into negative and positive groups, compared the vertebral-basilar artery morphological characteristics of the two groups of patients, and on the brain microbleeds and vertebral-correlation of basilar artery morphology was analyzed. Results There were significant differences in basilar arterial falsification, vertebral artery stenosis, basilar artery stenosis, and vertebral artery dysplasia between the negative group and the positive group( P<0.05). The incidence of vertebral-basal artery abnormalities in the positive group was higher than that in the negative group, and P<0.05. Conclusion Most brainstem infarct patients are associated with morphological abnormalities of the vertebral-basal artery, which increases the incidence of cerebral microbleeds. In addition, basal cerebral microbleeds have a close relationship with basilar artery elongation and vertebral artery dysplasia.

关 键 词：脑微出血 椎-基底动脉形态 脑干梗死 

分 类 号：R743.32[医药卫生—神经病学与精神病学]