症状性颈动脉蹼患者临床及影像学特征分析  

Analysis of clinical and imaging features of patients with symptomatic carotid web

作　　者：殷晓山[1] 夏皓[2] 曹和琴[1] 王灿云[2] 葛海洋[1] YIN Xiaoshan;XIA Hao;CAO Heqin(Department of Neurology,Hangzhou Xiaoshan First People’s Hospital,Hangzhou 311200,China)

机构地区：[1]杭州市萧山区第一人民医院神经内科,浙江杭州311200 [2]杭州市萧山区第一人民医院放射科,浙江杭州311200

出　　处：《全科医学临床与教育》2021年第12期1100-1103,共4页Clinical Education of General Practice

摘　　要：目的探讨症状性颈动脉蹼患者的临床及影像学特征。方法回顾性选择经CT血管造影(CTA)诊断为颈动脉蹼的患者,按照颈动脉蹼与急性脑梗死的关系分为症状性颈动脉蹼组和非症状颈动脉蹼组,比较症状性和非症状性颈动脉蹼患者的临床特征、磁共振脑梗死形态和CTA颈动脉狭窄程度。结果38例颈动脉蹼患者,共发现颈动脉蹼45个,其中症状性颈动脉蹼29个,非症状性颈动脉蹼16个。与非症状性颈动脉蹼组比较,症状性颈动脉蹼组男性占比高,合并心脑血管病史、伴有吸烟、糖尿病、高血压、高血脂、高血压症状比例更低,大面积脑梗死和散在多发脑梗死比例更高,差异均有统计学意义(χ^(2)分别=1.42、7.12、4.37、9.62、6.80、5.31、4.22、8.45,P均<0.05);两组的年龄、颈内动脉狭窄程度比较,差异均无统计学意义(t分别=0.04、0.01,P均>0.05)。结论症状性颈动脉蹼以男性多见,心脑血管病史及危险因素少,仅仅导致颈动脉轻度狭窄,脑梗死形态以大面积脑梗死和散在多发脑梗死为主。Objective To investigate the clinical and imaging features of patients with symptomatic carotid web.Meth⁃ods Choose retrospectively the CT angiography(CTA)in diagnosis of patients with symptomatic carotid web,according to the carotid artery web side relationship with acute cerebral infarction,divided into symptomatic carotid webbing group and asymptomatic carotid webbing group,the clinical features,magnetic resonance cerebral infarction and the CTA carotid stenosis of symptomatic and asymptomatic webbed were compared.Results A total of 45 carotid webbing were found in 38 patients,including 29 of symptomatic and 16 of asymptomatic.The proportion of males in symptomatic carotid webbing group was higher than that in asymptomatic carotid webbing group.The proportion of patients with cardiovascular and cerebrovascular history,smoking,diabetes,hypertension,hyperlipidemia and hypertension was lower,and the proportion of large area cerebral infarction and scattered multiple cerebral infarction was higher,with statistical significance(χ^(2)=1.42,7.12,4.37,9.62,6.80,5.31,4.22,8.45,P<0.05).There was no significant difference in age and degree of internal carotid artery stenosis between the two groups(t=0.04,0.01,P>0.05).Conclusion Symptomatic carotid web is more common in males,and there are few cardiovascular and cerebrovascular history and risk factors,which only lead to mild carotid artery stenosis,and the main form of cerebral infarction is large area cerebral infarction and scattered multiple cerebral infarction.

关 键 词：症状性颈动脉蹼 脑卒中 CT血管造影 脑梗死 颈动脉狭窄 

分 类 号：R743.3[医药卫生—神经病学与精神病学]