福建医科大学学报
福建醫科大學學報
복건의과대학학보
JOURNAL OF FUJIAN MEDICAL UNIVERSITY
2013年
2期
110-112
,共3页
脑动脉%脑梗死%脑缺血发作 ,短暂性%动脉粥样硬化%动脉闭塞性疾病
腦動脈%腦梗死%腦缺血髮作 ,短暫性%動脈粥樣硬化%動脈閉塞性疾病
뇌동맥%뇌경사%뇌결혈발작 ,단잠성%동맥죽양경화%동맥폐새성질병
cerebral arteries%brain infarction%ischemic attack,transient%atherosclerosis%arteri-al occlusive diseases
目的探讨短暂性脑缺血发作（T IA ）患者颅内外血管狭窄与临床发作之间的相关性。方法选择112例行全脑血管造影的T IA患者，分析颅内外动脉狭窄的发生率、分布、程度及斑块情况，探讨发作频率、发作持续时间与血管狭窄程度的相关性。结果78例存在颅内外血管狭窄，占69．6％（78/112），其中颅内血管狭窄占61．5％（48/78），颅外血管狭窄占38．5％（30/78）。狭窄部位有斑块66例，占狭窄血管84．6％（66/78）。狭窄程度≥70％者占39．3％（44/112），50％～70％者占7．1％（8/112），＜50％者占23．2％（26/112）。频发组血管总狭窄率、中重度狭窄率均高于非频发组（P均＜0．05）。中重度血管狭窄患者发作持续时间＜10 min者高于轻度血管狭窄患者（P＜0．05）。结论 TIA患者颅内外血管狭窄多，多伴有粥样硬化性斑块，是 TIA的主要病因。狭窄发生部位以颅内动脉多见。发作频率、发作持续时间均与血管狭窄呈一定的相关性。
目的探討短暫性腦缺血髮作（T IA ）患者顱內外血管狹窄與臨床髮作之間的相關性。方法選擇112例行全腦血管造影的T IA患者，分析顱內外動脈狹窄的髮生率、分佈、程度及斑塊情況，探討髮作頻率、髮作持續時間與血管狹窄程度的相關性。結果78例存在顱內外血管狹窄，佔69．6％（78/112），其中顱內血管狹窄佔61．5％（48/78），顱外血管狹窄佔38．5％（30/78）。狹窄部位有斑塊66例，佔狹窄血管84．6％（66/78）。狹窄程度≥70％者佔39．3％（44/112），50％～70％者佔7．1％（8/112），＜50％者佔23．2％（26/112）。頻髮組血管總狹窄率、中重度狹窄率均高于非頻髮組（P均＜0．05）。中重度血管狹窄患者髮作持續時間＜10 min者高于輕度血管狹窄患者（P＜0．05）。結論 TIA患者顱內外血管狹窄多，多伴有粥樣硬化性斑塊，是 TIA的主要病因。狹窄髮生部位以顱內動脈多見。髮作頻率、髮作持續時間均與血管狹窄呈一定的相關性。
목적탐토단잠성뇌결혈발작（T IA ）환자로내외혈관협착여림상발작지간적상관성。방법선택112례행전뇌혈관조영적T IA환자，분석로내외동맥협착적발생솔、분포、정도급반괴정황，탐토발작빈솔、발작지속시간여혈관협착정도적상관성。결과78례존재로내외혈관협착，점69．6％（78/112），기중로내혈관협착점61．5％（48/78），로외혈관협착점38．5％（30/78）。협착부위유반괴66례，점협착혈관84．6％（66/78）。협착정도≥70％자점39．3％（44/112），50％～70％자점7．1％（8/112），＜50％자점23．2％（26/112）。빈발조혈관총협착솔、중중도협착솔균고우비빈발조（P균＜0．05）。중중도혈관협착환자발작지속시간＜10 min자고우경도혈관협착환자（P＜0．05）。결론 TIA환자로내외혈관협착다，다반유죽양경화성반괴，시 TIA적주요병인。협착발생부위이로내동맥다견。발작빈솔、발작지속시간균여혈관협착정일정적상관성。
Objective To investigate the relationship between intracranial and extracranial artery stenosis and clinical attack characteristics in patients with transient ischemic attack (TIA) . Method 112 TIA patients received digital substract angiography were admitted . The frequency ,distribution ,degree , and plaque of intracranial and extracranial artery stenosis were analysed ,and the relations between fre-quency and duration of transient ischemic attack and stenosis degree were studied . Results 69 .6%(78/112) of the patients were found with intracranial and extracranial artery stenosis ,61 .5% (48/78) of which involved in intracranial artery and the rest in extracranial artery . 84 .6% (66/78) of stenosis had plaque . Among all patients ,those with stenosis degree ≥70% accounted for 39 .3% (44/112) ,with ste-nosis degree about 50% to 70% accounted for 7 .1% (8/112) ,and with stenosis degree <50% accounted for 23 .2% (26/112) . Total stenosis degree and the degree of moderate-severe stenosis in the frequently-attack subgroup were higher than those in the non-frequently-attack subgroup (P<0 .05) . Patients with moderate-severe stenosis who suffered shorter than 10 min of TIA were more than those with mild stenosis (P< 0 .05) . Conclusion Intracranial and extracranial artery stenosis and stenosis with plague are the main reasons for TIA . The frequency and duration of TIA have correlation with artery stenosis .
