早期脑梗死CT影像学表现与血液动力学参数相关性及其临床意义研究  

Correlation Between CT Imaging and Hemodynamic Parameters of Early Cerebral Infarction and its Clinical Significance

作　　者：黄鹏[1] HUANG Peng(Department of Neurology,Dujiangyan people's Hospital,Dujiangyan 611830,Sichuan Province,China)

机构地区：[1]都江堰市人民医院神经内科,四川都江堰611830

出　　处：《中国CT和MRI杂志》2020年第9期17-19,共3页Chinese Journal of CT and MRI

基　　金：四川省科技厅项目(19YYJC1109)。

摘　　要：目的探讨早期脑梗死CT影像学表现与血液动力学参数相关性及其临床意义。方法回顾性分析都江堰市人民医院2017年3月至2019年7月收治的40例超急性脑梗死患者的临床资料。将CT检查的诊断结果进行讨论和分析,观察早期脑梗死患者血液动力学改变。结果 6例脑组织密度减低,其中2例伴有出血;岛带征11例,大脑中动脉点征9例,豆状核模糊12例,2例可见左侧大脑中动脉高密度征阳性;与健康组比较,脑梗死组的Qmean、Vmean、Vmax、Vmin明显降低(P<0.05);而Wv、Zcv、CP及DR显著升高,与健康组比较差异具有统计学意义(P<0.05),其中脑梗死组的Rv也有升高,但是与健康组比较差异无统计学意义(P>0.05)。结论 CT检查可清楚显示早期脑梗死的影像学特点,对脑梗死病变的范围及预后具有重要的价值,早期脑梗死患者血液动力学参数均有明显改变,临床上可对CT检查的影像学特征进行全面分析,结合早期患者血液动力学参数对脑梗死进行诊断和治疗。Objective To explore the correlation between CT imaging and hemodynamic parameters of early cerebral infarction and its clinical significance.Methods The clinical data of 40 patients with hyperacute cerebral infarction admitted to our hospital from March 2017 to July 2019 were retrospectively analyzed.The diagnosis results of CT examination were discussed and analyzed to observe the hemodynamic changes in patients with early cerebral infarction.Results The density of brain tissue decreased in 6 cases,including 2 cases with hemorrhage;11 cases with insular ribbon sign,9 cases with dot sign of middle cerebral artery,12 cases with blurry lenticular nucleus,and 2 cases with positive high density sign of left middle cerebral artery.Compared with those of the healthy group,Qmean,Vmean,Vmax and Vmin significantly decreased in the cerebral infarction group (P<0.05).Wv,Zcv,CP and DR significantly increased,and the difference was statistically significant (P<0.05).The Rv of the cerebral infarction group also increased,but there was no significant difference compared with that of the healthy group (P> 0.05).Conclusion CT examination can clearly show the imaging features of early cerebral infarction,and it is of great value to the extent and prognosis of cerebral infarction.The hemodynamic parameters of patients with early cerebral infarction have obvious changes,and the imaging features of CT examination can be comprehensively analyzed in clinic,and the hemodynamic parameters of early patients can be combined to diagnose and treat cerebral infarction.

关 键 词：早期脑梗死 CT影像学表现 血液动力学参数 临床意义 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R445.3[医药卫生—临床医学]