孤立性脑桥梗死与基底动脉血管病变的相关性分析  

Correlation between isolated pons infarction and basilar artery vascular lesions

作　　者：高犇 刘静[1] 张栩[2] 张金彪 徐新美 董礼全 GAO Ben;LIU Jing;ZHANG Xu;ZHANG Jinbiao;XU Xinmei;DONG Liquan(Qingdao University,Qingdao 266000,China;Department of Neurology,Weihai Municipal Hospital,Weihai 264200,China)

机构地区：[1]青岛大学,山东青岛266000 [2]威海市立医院神经内科,山东威海264200

出　　处：《中国实用神经疾病杂志》2019年第16期1780-1786,共7页Chinese Journal of Practical Nervous Diseases

基　　金：山东省医药卫生科技发展计划项目(编号:2016WS0636)

摘　　要：目的探讨孤立性脑桥梗死与基底动脉血管病变的相关性。方法统计2014-2016年威海市立医院神经内科收住的急性孤立性脑桥梗死患者72例,按梗死部位分为A组(旁正中型)、B组(腹外侧型)、C组(脑桥被盖部)和D组(混合型),研究其与基底动脉狭窄<50%、基底动脉狭窄>50%、基底动脉迂曲扩张、基底动脉发育不良及无明显血管狭窄的关系。结果72例患者中A、B、C、D组分别为42例(58.3%)、6例(8.3%)、6例(8.3%)、18例(25%);基底动脉狭窄<50%18例(25%),基底动脉狭窄≥50%13例(18.1%),基底动脉弯曲扩张14例(19.4%),基底动脉发育不良4例(5.6%),无明显血管狭窄23例(31.9%);旁正中梗死与无明显血管狭窄有相关性(P<0.05),混合型与基底动脉狭窄>50%相关(P<0.05);基底动脉弯曲扩张A组26.2%,高于B组(16.7%)、C组(16.7%)、D组(5.6%),但4组间差异无统计学意义(P=0.321)。结论孤立性脑桥梗死与基底动脉病变密切相关。Objective To investigate the relationship between isolated pons infarction and basilar artery vascular disease.Methods 72 patients with acute isolated pons infarction admitted to the Department of Neurology,Weihai Municipal Hospital from November 2014 to November 2016 were collected.The patients were divided into A(paralateral medium)B(ventral lateral type)C(ponsal cap)D(mixed type),and each group was stenosis with basilar artery<50%,basilar artery stenosis>50%,base Correlation between arterial tortuosity,basilar artery dysplasia,and no significant vascular stenosis.Results Among the 72 patients,A,B,C,and D groups accounted for 42(58.3%),6(8.3%),6(8.3%),and 18(25%);those with basilar artery stenosis<50%were 18(25).%),13 cases(18.1%)with basilar artery stenosis≥50%,14 cases(19.4%)with basilar artery dilatation,4 cases(5.6%)with basilar artery dysplasia,and 23 cases without obvious vascular stenosis(31.9)%);the median infarction was associated with no significant vascular stenosis(P<0.05),mixed type was associated with basilar artery stenosis>50%(P<0.05);basilar artery tortuosity and dilatation were 26.2%in group A,significantly higher than Group B(16.7%),C group(16.7%),and D group(5.6%),but the difference between the four groups was not statistically significant(P=0.321).Conclusion There is a close correlation between isolated pons infarction and basilar artery lesions.Therefore,isolated pons infarction should first exclude vascular factors,and increasing the detection rate of vascular lesions is of great significance for treatment and prevention.

关 键 词：孤立性脑桥梗死 基底动脉 磁共振成像 磁共振血管成像 椎基底动脉弯曲扩张症 基底动脉发育不良 

分 类 号：R743.33[医药卫生—神经病学与精神病学]