中华神经科杂志
中華神經科雜誌
중화신경과잡지
Chinese Journal of Neurology
2011年
4期
229-233
,共5页
脑桥%脑梗死%椎底动脉供血不足%磁共振成像%数字减影血管造影
腦橋%腦梗死%椎底動脈供血不足%磁共振成像%數字減影血管造影
뇌교%뇌경사%추저동맥공혈불족%자공진성상%수자감영혈관조영
Pons%Brain infarction%Vertebrol basilar insufficiency%Magnetic resonance imaging%Angiography digital subtraction
目的 探讨脑桥梗死部位与椎基底动脉狭窄或闭塞之间的关系.方法 连续入选2005年2月至2007年9月收住北京宣武医院神经内科的新发脑桥部梗死患者139例,所有病例均行头部MRI以及全脑血管造影检查,排除有可疑心源性栓子来源的患者.将病例分为A(旁中央动脉组)、B(短旋动脉组)、C(长旋动脉组)、D(混合组)4组,并对各组进行与椎动脉、基底动脉狭窄或闭塞以及无血管病变的相关性研究.结果 139例患者中A、B、C、D组各占78(56.1%)、3(2.2%)、7(5.0%)、51(36.7%)例.左或右侧椎动脉闭塞者56例(40.3%),左或右椎动脉狭窄者60例(43.2%),基底动脉闭塞者14例(10.1%),基底动脉狭窄者14例(10.1%),无后循环血管改变者16例(11.5%).A组与椎动脉闭塞、基底动脉闭塞及无血管病变者相关,x2值分别为3.945、6.824、4.485,P值分别为0.043、0.021、O.041.D组与基底动脉闭塞相关,x2值为10.952,P值为0.006.对以上两者进行Logistic回归分析,发现A组与椎动脉闭塞更相关(OR值为2.261),D组与基底动脉闭塞更相关(OR值为15.750).结论 脑桥不同部位的梗死与椎基底动脉的狭窄或闭塞关系密切,提示临床医生在遇到相关病例时,应提高警惕,及时做血管检查.
目的 探討腦橋梗死部位與椎基底動脈狹窄或閉塞之間的關繫.方法 連續入選2005年2月至2007年9月收住北京宣武醫院神經內科的新髮腦橋部梗死患者139例,所有病例均行頭部MRI以及全腦血管造影檢查,排除有可疑心源性栓子來源的患者.將病例分為A(徬中央動脈組)、B(短鏇動脈組)、C(長鏇動脈組)、D(混閤組)4組,併對各組進行與椎動脈、基底動脈狹窄或閉塞以及無血管病變的相關性研究.結果 139例患者中A、B、C、D組各佔78(56.1%)、3(2.2%)、7(5.0%)、51(36.7%)例.左或右側椎動脈閉塞者56例(40.3%),左或右椎動脈狹窄者60例(43.2%),基底動脈閉塞者14例(10.1%),基底動脈狹窄者14例(10.1%),無後循環血管改變者16例(11.5%).A組與椎動脈閉塞、基底動脈閉塞及無血管病變者相關,x2值分彆為3.945、6.824、4.485,P值分彆為0.043、0.021、O.041.D組與基底動脈閉塞相關,x2值為10.952,P值為0.006.對以上兩者進行Logistic迴歸分析,髮現A組與椎動脈閉塞更相關(OR值為2.261),D組與基底動脈閉塞更相關(OR值為15.750).結論 腦橋不同部位的梗死與椎基底動脈的狹窄或閉塞關繫密切,提示臨床醫生在遇到相關病例時,應提高警惕,及時做血管檢查.
목적 탐토뇌교경사부위여추기저동맥협착혹폐새지간적관계.방법 련속입선2005년2월지2007년9월수주북경선무의원신경내과적신발뇌교부경사환자139례,소유병례균행두부MRI이급전뇌혈관조영검사,배제유가의심원성전자래원적환자.장병례분위A(방중앙동맥조)、B(단선동맥조)、C(장선동맥조)、D(혼합조)4조,병대각조진행여추동맥、기저동맥협착혹폐새이급무혈관병변적상관성연구.결과 139례환자중A、B、C、D조각점78(56.1%)、3(2.2%)、7(5.0%)、51(36.7%)례.좌혹우측추동맥폐새자56례(40.3%),좌혹우추동맥협착자60례(43.2%),기저동맥폐새자14례(10.1%),기저동맥협착자14례(10.1%),무후순배혈관개변자16례(11.5%).A조여추동맥폐새、기저동맥폐새급무혈관병변자상관,x2치분별위3.945、6.824、4.485,P치분별위0.043、0.021、O.041.D조여기저동맥폐새상관,x2치위10.952,P치위0.006.대이상량자진행Logistic회귀분석,발현A조여추동맥폐새경상관(OR치위2.261),D조여기저동맥폐새경상관(OR치위15.750).결론 뇌교불동부위적경사여추기저동맥적협착혹폐새관계밀절,제시림상의생재우도상관병례시,응제고경척,급시주혈관검사.
Objective To investigate the correlation between stenosis or occlusion of vertebralbasilar artery and the location of infarctions in pontine. Methods All 139 patients with acute pontine infarction who were admitted to the Department of Neurology,Xuanwu Hospital,Beijing,during February,2005 and September,2007 were studied. All patients received the examinations of head MRI and digital subtraction angiography (DSA). Patients with possible cardiac embolism were excluded from the study. All the cases were then divided into four groups: A( paracentral artery group); B (short rotary artery group); C (long rotary artery group) and D (combined group). Results In all 139 cases,78 cases (56. 1% ) were in A group,3 (2. 2% ) in B group,7 (5.0%) in C group and 51 (36.7%) in D group. Fifty-six cases (40. 3% ) have occlusion in vertebral artery,60 cases (43.2%) have stenosis of vertebral artery. Cases having stenosis or occlusion in basilar artery are 14 cases (10. 1% ) each. Sixteen cases (11.5%) have unimpaired vertebral-basilar artery. A group is related to occlusion of vertebral artery and basilar artery and unimpaired artery ( x2 =3. 945,6. 824,4. 485 ,P = 0. 043,0. 021,0. 041 respectively). D group is related to occlusion of basilar artery ( x2 = 10. 952,P = 0. 006). Logistic binary analysis found that A group is more related with occlusion of vertebral artery ( OR = 2. 261 ),while D group is more related to occlusion of basilar artery ( OR = 15. 750). Conclusions There is a significant correlation between stenosis or occlusion of vertebral-basilar artery and the locations of infarctions in pontine. The physicians are suggested to perform the examinations on cerebral vessels such as brain MRI or DSA in patients with infarctions in pontine.
