右心声学造影在老年与青年心源性脑梗死患者中的诊断价值及对卵圆孔未闭的评估作用  

Diagnostic value of right voice angiography in elderly and young patients with cardiogenic cerebral infarction and the evaluation of different risk patent foramen ovale

作　　者：吴明红 朱骞 黎培凤 Wu Minghong;Zhu Qian;Li Peifeng(Ultrasound Function Examination Department,Qiannan Hospital of Traditional Chinese Medicine,Guizhou 558000,China;不详)

机构地区：[1]贵州省黔南州中医医院超声功能检查科,558000 [2]黔南州人民医院放射科

出　　处：《实用医学影像杂志》2025年第1期37-41,共5页Journal of Practical Medical Imaging

摘　　要：目的 探究右心声学造影对老年与青年心源性脑梗死患者的诊断价值及评估卵圆孔未闭(PFO)的作用。方法 选取黔南州中医医院及黔南州人民医院于2022年4月至2024年2月期间收治的110例心源性脑梗死患者作为研究对象,按照年龄分为对照组和观察组,每组均为55例,其中对照组为年龄>45岁患者,观察组为年龄≤45岁患者,对比分析2组患者脑梗死相关因素、主要病因分类,分析右心声学造影在青年心源性脑梗死患者中的诊断价值及右心声学造影对不同风险PFO的评估作用及PFO阳性患者脑梗死关联因素差异分析结果。结果 观察组PFO阳性、颅脑磁共振血管成像(MRA)血管中-重度狭窄、颈动脉超声血管中-重度狭窄比例均高于对照组(P<0.05)。右心声学造影阳性的青年脑梗死患者有血管病变范围小的特征,在评估PFO方面作用显著。脑梗死不相关组血糖低于脑梗死相关组(P<0.05)。结论 PFO和其他原因是青年心源性脑梗死患者的主要病因,血管病变是老年心源性脑梗死主要病因。PFO阳性与高血糖水平脑梗死患者相关。右心声学造影评估PFO方面作用显著。Objective To explore the diagnostic value of right voice angiography in elderly and young patients with cardiogenic cerebral infarction and to evaluate the role of patent foramen ovale(PFO).Methods A total of 110 patients with cardiogenic cerebral infarction admitted to Qiannan Hospital of Traditional Chinese Medicine and Qiannan People′s Hospital from April 2022 to February 2024 were selected as the study objects.They were divided into a control group and an observation group according to age,with 55 patients in each group.The control group was patients with age>45 years old,and the observation group was patients with age≤45 years old.The related factors and main etiological classification of cerebral infarction in the two groups were compared and analyzed.The diagnostic value of right voice imaging in young patients with cardiogenic cerebral infarction,the evaluation effect of right voice imaging on different risk PFO and the difference analysis results of associated factors of cerebral infarction in PFO-positive patients were analyzed.Results PFO positive,craniocerebral magnetic resonance angiography(MRA)vessel moderate-severe stenosis and carotid artery ultrasound vessel moderate-severe stenosis ratio in observation group were higher than those in control group(P<0.05).Young cerebral infarction patients with positive right echocardiography have a small range of vascular lesions,which was significant in the assessment of PFO.The blood glucose of the unrelated group was lower than that of the related group(P<0.05).Conclusion PFO and other causes are the main causes of young patients with cardiogenic cerebral infarction,and vascular disease is the main cause of elderly patients with cardiogenic cerebral infarction.Positive PFO was associated with high blood glucose levels in patients with cerebral infarction.Right echocardiography performed significantly in the assessment of PFO.

关 键 词：脑梗死 右心声学造影 卵圆孔未闭 

分 类 号：R74[医药卫生—神经病学与精神病学]