原发性高血压与延髓腹外侧区血管压迫的相关性研究  

Correlation research of essential hypertension and vascular compression in the ventrolateral medulla oblongata

作　　者：陶芳旭 王智清[1] 陈耀康[1] 张泽明[1] 赵张平[1] 刘军[2] TAO Fangxu;WANG Zhiqing;CHEN Yaokang;ZHANG Zeming;ZHAO Zhangping;LIU Jun(Department of Radiology,Second Xiangya Hospital of Central South University,Changsha 430100,China)

机构地区：[1]四川省攀枝花市中心医院放射影像科,四川攀枝花617000 [2]中南大学湘雅二院放射科,湖南长沙430100

出　　处：《中国中西医结合影像学杂志》2022年第4期334-336,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:探讨原发性高血压与延髓腹外侧区血管压迫的相关性。方法:选取83例原发性高血压患者(高血压组),其中有血管压迫征象73例,无血管压迫征象10例;非高血压患者65例(非高血压组)中,有血管压迫征象33例,无血管压迫征象32例。2组均行3D MRI薄层扫描,并对延髓腹外侧区压迫情况进行分组分析。结果:2组血管压迫发生率差异有统计学意义(P<0.05)。2组单侧和双侧血管压迫情况差异无统计学意义(P>0.05);左侧和右侧血管压迫情况差异无统计学意义(P>0.05)。结论:延髓腹外侧区血管压迫在高血压人群更常见,但是血管压迫征象无明显的偏侧性。Objective:To explore the correlation between essential hypertension and vascular compression in the ventrolateral medulla oblongata.Methods:A total of 83 hypertensive patients were selected,73 had signs of vascular compression,and 10 had no signs.Among the 65 nonhypertensive patients,33 had signs of vascular compression,and 32 had no signs.All subjects underwent 3D MRI thin-section scans,and grouped analysis was performed on the compression of the ventrolateral medulla oblongata.Results:The incidence of vascular compression in the hypertensive group had a significant difference with that in the nonhypertensive group(P<0.05).There was no statistically significant difference between unilateral and bilateral vascular compression in two groups(P>0.05),there was no significant difference between left and right vascular compression(P>0.05).Conclusions:Vascular compression in the ventrolateral medulla oblongata is more common in hypertensive patients,but there is no obvious laterality of vascular compression signs.

关 键 词：高血压 延髓腹外侧 椎动脉 磁共振成像 

分 类 号：R544.11[医药卫生—心血管疾病] R445.2[医药卫生—内科学]