不同类型分水岭梗死与血管狭窄的相关因素分析  

Analysis of correlation factors between internal carotid artery changes and different kinds of watershed infarctions

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作  者:刘英娣 潘玉君[2] Liu Yingdi;Pan Yujun(Department of Geriatics,the Cpatial University of Medical Science Electric Power Electring Hospital,Beijing 100073,China)

机构地区:[1]首都医科大学电力教学医院老年医学科,北京100073 [2]哈尔滨医科大学附属第一医院神经内科

出  处:《脑与神经疾病杂志》2025年第2期130-132,F0003,共4页Journal of Brain and Nervous Diseases

基  金:神经科学国家重点实验室开放课题资助项目(SKLN-201203)。

摘  要:目的本研究通过对不同类型分水岭梗死(WSI)者入院后的病历资料统计分析,探讨颈内动脉血管狭窄程度在不同类型WSI间是否存在差异。方法选取于哈尔滨医科大学附属第一医院神经内科住院治疗的70例WSI患者,将WSI患者根据新发梗死部位分为皮质型、皮质下型和混合型。皮质型分为皮质前型,皮质后型。皮质下型分为部分型和融合型。分析比较不同梗死类型之间是否存在颈内动脉及其他血管重度狭窄或闭塞。结果WSI皮质型、皮质下型、混合型3组间同侧ICA颅内段有无重度狭窄近闭塞(P=0.028)差异有统计学意义。皮质前型、皮质后型、皮质前后型3组间同侧大脑前动脉狭窄差异有统计学意义(P=0.031)。皮质下型两组间同侧ICA颅内段、颅外段及MCA狭窄分别有统计学意义(P=0.003,P=0.027,P=0.010)。结论分水岭各亚型间血管狭窄程度与部位存在差异,融合型皮质下WSI更易存在颈内动脉严重病变。Objective In this study,patients with different kinds of acute watershed infarction(WSI)were statistically analyzed after admission to explore whether the stenosis degree of ICA vessel stenosis is different.Methods 70 patients with WSI were selected for routine inpatient evaluation.We divided the patients into cortical watershed infarction(CWI),internal watershed infarction(IWI)and mixed watershed infarction(MWSI).CWI was divided into anterior watershed infarction,posterior watershed infarction and both of them,IWI was divided into partial IWI(P-IWI),and Confluent IWI(C-IWI).Analysis the clinical datas of patients with different types.Results There is a significant difference among the three groups in whether there is severe stenosis or near occlusion in the intracranial segment of ICA(P=0.028).There is a significant difference in anterior cerebral artery stenosis among the three groups of cortical watershed infarction(P=0.031).Ipsilateral ICA intracranial and extracranial segment,and MCA stenosis are significantly different between the two groups of IWI(P=0.003,P=0.027,P=0.010,respectively).Conclusions There are differences in the degree and location of vascular stenosis among the subtypes of WSI,and the severe lesions of internal carotid artery are more likely to occur in patients with the confluent internal WSI.

关 键 词:分水岭梗死 血管狭窄 颈内动脉 

分 类 号:R743.32[医药卫生—神经病学与精神病学]

 

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