CAJ | 학술논문

　　目的探讨磁共振血管成像(Magnetic resonance angiography，MRA)在脑梗死患者颅内血管结构变化的诊断及意义。方法回顾性分析在深圳市人民医院确诊为脑梗死的63例患者的MRA影像学资料，并与数字减影血管造影(DSA)对照分析，观察颅内动脉的狭窄和闭塞与梗死灶的关系。结果颈内动脉系统梗死51例，椎-基底动脉系统梗死12例；动脉病变24例，其中大动脉狭窄15例，闭塞4例；小动脉狭窄7例；MRA对59例脑梗死患者的诊断与DSA相符，其诊断符合率为93.65%。结论 MRA在诊断脑梗死患者颅内动脉狭窄或闭塞方面安全可靠，对进一步指导治疗具有重要意义。
　　목적탐토자공진혈관성상(Magnetic resonance angiography，MRA)재뇌경사환자로내혈관결구변화적진단급의의。방법회고성분석재심수시인민의원학진위뇌경사적63례환자적MRA영상학자료，병여수자감영혈관조영(DSA)대조분석，관찰로내동맥적협착화폐새여경사조적관계。결과경내동맥계통경사51례，추-기저동맥계통경사12례；동맥병변24례，기중대동맥협착15례，폐새4례；소동맥협착7례；MRA대59례뇌경사환자적진단여DSA상부，기진단부합솔위93.65%。결론 MRA재진단뇌경사환자로내동맥협착혹폐새방면안전가고，대진일보지도치료구유중요의의。
Objective To investigate the Structure change and signifcance of MRA in evaluate cerebral infarction patients with intracranial arteries.Methods The hospital were retrospectively analyzed in 63 cases diagnosed as cerebral infarction in patients with MRA imaging data,and compared with digital subtraction angiography (DSA) contrast analysis,observations of intracranial artery stenosis and occlusion relations with infarcts.Results Internal carotid artery infarction 51 cases of vertebral - basilar artery infarction in 12 cases; artery disease in 24 cases, the main artery stenosis in 15 cases, four cases of occlusion;small artery stenosis in 7 cases;MRA of 59 patients with cerebral infarction The diagnosis and DSA match, the diagnosis rate was 93.65%. Conclusion MRA in the diagnosis of cerebral infarction patients with intracranial artery stenosis or occlusion in safe and reliable,and treatment is of great importance for further guidance.