中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
28期
37-39
,共3页
脑梗塞%椎动脉%基底动脉
腦梗塞%椎動脈%基底動脈
뇌경새%추동맥%기저동맥
Brain infarction%Vertebral artery%Basilar artery
目的 探讨椎动脉优势对基底动脉弯曲及椎-基底动脉连接部脑桥和小脑梗死的影响.方法 回顾性分析86例单侧脑桥梗死或小脑后下动脉梗死患者的影像学资料,包括梗死侧别、椎动脉优势、基底动脉弯曲及其方向性关系等,采用多元Logistic回归分析基底动脉弯曲的预测因素.结果 椎动脉优势常发生于左侧(69.8％,60/86),基底动脉弯曲多见于向右侧弯曲(74.4％,64/86).86例患者中71例在椎动脉优势和基底动脉弯曲之间存在相反方向的关系.高血压、基底动脉中重度弯曲及右侧椎动脉直径在椎动脉直径差异不同等级间比较差异有统计学意义(P＜ 0.05或＜ 0.01).椎动脉直径是基底动脉中重度弯曲的惟一预测因素(OR=2.81,95％ CI:1.33～6.09).结论 椎动脉优势是基底动脉弯曲的重要预测因素,且弯曲多朝向优势椎动脉的对侧.椎动脉优势及其造成的基底动脉弯曲增加了椎-基底动脉连接部脑梗死的发生率.
目的 探討椎動脈優勢對基底動脈彎麯及椎-基底動脈連接部腦橋和小腦梗死的影響.方法 迴顧性分析86例單側腦橋梗死或小腦後下動脈梗死患者的影像學資料,包括梗死側彆、椎動脈優勢、基底動脈彎麯及其方嚮性關繫等,採用多元Logistic迴歸分析基底動脈彎麯的預測因素.結果 椎動脈優勢常髮生于左側(69.8％,60/86),基底動脈彎麯多見于嚮右側彎麯(74.4％,64/86).86例患者中71例在椎動脈優勢和基底動脈彎麯之間存在相反方嚮的關繫.高血壓、基底動脈中重度彎麯及右側椎動脈直徑在椎動脈直徑差異不同等級間比較差異有統計學意義(P＜ 0.05或＜ 0.01).椎動脈直徑是基底動脈中重度彎麯的惟一預測因素(OR=2.81,95％ CI:1.33～6.09).結論 椎動脈優勢是基底動脈彎麯的重要預測因素,且彎麯多朝嚮優勢椎動脈的對側.椎動脈優勢及其造成的基底動脈彎麯增加瞭椎-基底動脈連接部腦梗死的髮生率.
목적 탐토추동맥우세대기저동맥만곡급추-기저동맥련접부뇌교화소뇌경사적영향.방법 회고성분석86례단측뇌교경사혹소뇌후하동맥경사환자적영상학자료,포괄경사측별、추동맥우세、기저동맥만곡급기방향성관계등,채용다원Logistic회귀분석기저동맥만곡적예측인소.결과 추동맥우세상발생우좌측(69.8％,60/86),기저동맥만곡다견우향우측만곡(74.4％,64/86).86례환자중71례재추동맥우세화기저동맥만곡지간존재상반방향적관계.고혈압、기저동맥중중도만곡급우측추동맥직경재추동맥직경차이불동등급간비교차이유통계학의의(P＜ 0.05혹＜ 0.01).추동맥직경시기저동맥중중도만곡적유일예측인소(OR=2.81,95％ CI:1.33～6.09).결론 추동맥우세시기저동맥만곡적중요예측인소,차만곡다조향우세추동맥적대측.추동맥우세급기조성적기저동맥만곡증가료추-기저동맥련접부뇌경사적발생솔.
Objective To investigate the influence of vertebral artery (VA) dominance in basilar artery (BA) curvature and pontine or cerebellar infarction occurring around the vertebrobasilar junction.Methods Radiological data (infarction laterality,VA dominance,BA curvature and their directional relationships)were analyzed in 86 patients with acute unilateral pontine or posterior inferior cerebellar artery (PICA) territory infarction.Multiple Logistic regression analysis was performed to predict the moderate to severe BA curvature.Results The dominant VA frequently happened on the left side (69.8％,60/86).The BA curvature frequently happened to be right lateral flexion (74.4％,64/86).In 86 patients,71 patients had negative direction relationship between VA dominance and BA curvature.The diameter grade of VA had significant relationship with hypertension,moderate and severe BA curvature and right diameter of VA (P ＜ 0.05 or ＜ 0.01).The diameter of VA was the only independent predictor for moderate and severe BA curvature (OR =2.81,95％ CI:1.33-6.09).Conclusions VA dominance is an important predictive factor of BA curvature,and BA curvature is usually opposite to the side of VA dominance.VA dominance and BA curvature caused by VA dominance increase the incidence of vertebrobasilar junctional infarction.
