旋转性椎动脉闭塞综合征与后循环缺血事件的相关性分析  

Association between rotational vertebral artery occlusion syndrome and posterior circulation ischemic events

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作  者:冯倩帆 魏莹[2] 张勇[2] FENG Qianfan;WEI Ying;ZHANG Yong(Department of Magnetic Resonance,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区:[1]开封市中心医院超声科,河南开封475000 [2]郑州大学第一附属医院磁共振科,河南郑州450052

出  处:《中风与神经疾病杂志》2025年第3期239-243,共5页Journal of Apoplexy and Nervous Diseases

基  金:河南省医学科技攻关联合共建项目(LHGJ20230202)。

摘  要:目的探讨旋转性椎动脉闭塞综合征发生率、发生部位及其与后循环缺血症状、后循环梗死病灶和后期后循环新发卒中的相关性。方法共纳入符合标准的283例患者,比较转颈试验阳性和阴性两组患者在症状、影像学和随访期后循环新发卒中情况。两组间计数资料比较采用卡方检验或Fisher确切概率法,P<0.05差异有统计学意义。结果入组患者中约8.13%(23/283)符合旋转性椎动脉闭塞综合征诊断标准。阳性组患者在后循环缺血症状方面,与阴性组差异无统计学意义(P=0.089);但阳性组具有更多的基线后循环病灶和随访期新发后循环梗死(P值分别为0.010和0.009)。结论旋转性椎动脉闭塞综合征明显增加了后循环梗死的发生风险。Objective To investigate the incidence rate and location of rotational vertebral artery occlusion syndrome and its association with the symptoms of posterior circulation ischemia,the lesions of posterior circulation infarction,and newly-onset posterior circulation stroke.Methods A total of 283 patients who met the criteria were included,and the patients with positive results of neck rotation test and those with negative results were compared in terms of symptoms,imaging findings,and newly-onset posterior circulation stroke during follow-up.The chi-square test or the Fisher’s exact test was used for comparison of categorical data between two groups,with P<0.05 indicating statistical significance.Results Among the 283 patients enrolled,23(8.13%)met the diagnostic criteria for rotational vertebral artery occlusion syndrome.There was no significant difference in posterior circulation ischemic symptoms between the positive group and the negative group(P=0.089),and compared with the negative group,the positive group had significantly higher numbers of posterior circulation infarcts at baseline and newly-onset cases of posterior circulation stroke during follow-up(P=0.010 and 0.009).Conclusion Rotational vertebral artery occlusion syndrome significantly increases the risk of posterior circulation infarction.

关 键 词:颈部血管超声 转颈试验 旋转性椎动脉闭塞综合征 卒中 

分 类 号:R741[医药卫生—神经病学与精神病学] R445.1[医药卫生—临床医学]

 

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