基于多模式影像学评估的侧支循环与缺血性脑卒中预后的相关性研究进展  

Recent advance in relation between collateral circulation and prognoses of ischemic stroke based on multimodal imaging evaluation

作　　者：徐良额 张圣 江秉泽 张媛媛[3] 史宗杰[2] 徐彬 Xu Liang'e;Zhang Sheng;Jiang Binze;Zhang Yuanyuan;Shi Zongjie;Xu Bin(Second Clinical Medical School,Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Neurology,Zhejiang Provincial People's Hospital,Hangzhou 310014,China;Graduate School of Bengbu Medical College,Bengbu 233030,China;Department of Neurology,Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,China)

机构地区：[1]浙江中医药大学第二临床医学院,杭州310053 [2]浙江省人民医院神经内科,杭州310014 [3]蚌埠医学院研究生学院,蚌埠233030 [4]浙江中医药大学附属第二医院神经内科,杭州310005

出　　处：《中华神经医学杂志》2019年第11期1168-1172,共5页Chinese Journal of Neuromedicine

基　　金：浙江省医药卫生科技计划面上项目(2019KY120);浙江省中医药科技计划一般项目(2018ZB055)。

摘　　要：颅内侧支循环能代偿性改善缺血性脑卒中后的脑血流、保护缺血区神经元,为再灌注治疗提供宝贵的时间,与患者的预后密切相关。随着急性期再灌注治疗新技术的不断涌现和发展,亟须建立个体化评估侧支循环的方案以指导临床决策。目前,基于多模式影像学评估的侧支循环可更快捷有效地为临床个体化诊断和精准治疗提供指导依据,从而提高患者的临床预后。笔者现围绕近年来基于多模式影像学评估的侧支循环与缺血性脑卒中预后的相关性研究进展进行综述,以期为急性期缺血性脑卒中再灌注治疗提供指导依据及有效评估患者的临床预后。Cerebral collateral circulation can improve cerebral blood flow and protect neurons in ischemic stroke,which provides valuable time for reperfusion therapy and is closely related to the prognoses of patients with acute ischemic stroke.With the continuous emergence and development of new techniques for vascular reperfusion therapy in acute phase,it is urgent to establish a scheme for individualized evaluation of collateral circulation to guide clinical decision-making.Collateral circulation based on multi-mode imaging evaluation can provide guidance for clinical individualized diagnoses and accurate treatments more quickly and effectively to improve the clinical prognoses of patients.In order to provide guidance for the reperfusion treatment of acute ischemic stroke and effectively evaluate the clinical prognoses of patients,the authors summarize the research progress on correlation between collateral circulation and prognoses of ischemic stroke based on multi-mode imaging evaluation in recent years.

关 键 词：缺血性脑卒中 侧支循环 多模式影像学 预后 

分 类 号：R74[医药卫生—神经病学与精神病学]