大脑前动脉供血区梗死的影像分型及临床特征  

Imaging classification and clinical features of anterior cerebral artery territory infarction

作　　者：王光胜 鲍俊杰 胡婷 田媛媛 黄利 顾汉沛 周金金 WANG Guangsheng;BAO Junjie;HU Ting;TIAN Yuanyuan;HUANG Li;GU Hanpei;ZHOU Jinjin(Neurology Department,the Affiliated Shuyang Hospital of Xuzhou Medical University,Suqian 223600,China)

机构地区：[1]徐州医科大学附属沭阳医院神经内科,江苏宿迁223600

出　　处：《临床医学研究与实践》2024年第17期49-52,共4页Clinical Research and Practice

基　　金：江苏省卫生健康委科研项目(No.Z2019032)。

摘　　要：目的探讨大脑前动脉(ACA)供血区梗死的影像分型及临床特征。方法收集ACA供血区梗死患者的基线资料、临床症状及影像学检查结果,根据影像征像将患者分为深部梗死型、皮层梗死型和混合梗死型3种类型。结果37例ACA供血区梗死患者中,深部梗死型9例,皮层梗死型16例,混合梗死型12例。深部梗死型患者的言语障碍发生比例高于皮层梗死型患者(P<0.05)。3种类型的肢体无力发生情况差异显著(P<0.05);皮层梗死型患者和混合梗死型患者的肢体无力发生比例高于深部梗死型患者(P<0.05)。结论ACA供血区梗死以皮层梗死型常见,皮层梗死型、深部梗死型和混合梗死型患者在言语和肢体功能障碍方面有差异。Objective To explore the imaging classification and clinical features of anterior cerebral artery(ACA)territory infarction.Methods Baseline data,clinical symptoms and imaging findings of patients with ACA territory infarction were collected,and the patients were divided into three types:deep infarction type,cortical infarction type and mixed infarction type according to the imaging signs.Results There were 9 cases of deep infarction,16 cases of cortical infarction and 12 cases of mixed infarction in 37 patients with ACA territory infarction.The incidence of speech disorder in patients with deep infarction was higher than that in patients with cortical infarction(P<0.05).There was significant difference in proportion of limb weakness among the three types of ACA territory infarction(P<0.05);the incidence of limb weakness in patients with cortical infarction and mixed infarction was higher than that in patients with deep infarction(P<0.05).Conclusion Cortical infarction is common type of ACA territory infarction,and there are differences in speech and limb dysfunction among cortical infarction,deep infarction and mixed infarction.

关 键 词：大脑前动脉 脑梗死 言语障碍 肢体功能障碍 

分 类 号：R743.32[医药卫生—神经病学与精神病学]