中国血管外科杂志（电子版）
中國血管外科雜誌（電子版）
중국혈관외과잡지（전자판）
CHINESE JOURNAL OF VASCULAR SURGERY(ELECTRONIC VERSION)
2014年
3期
160-163
,共4页
锁骨下动脉窃血综合征%椎动脉狭窄%侧支循环%锁骨下动脉硬化闭塞症
鎖骨下動脈竊血綜閤徵%椎動脈狹窄%側支循環%鎖骨下動脈硬化閉塞癥
쇄골하동맥절혈종합정%추동맥협착%측지순배%쇄골하동맥경화폐새증
Subclavian steal syndrome%Vertebral artery occlusive disease%Collateral circulation%Subclavian arteriosclerosis obliterans
目的：探讨椎动脉病变对锁骨下动脉闭塞症的窃血程度及临床表现的影响。方法回顾性分析2000年至2012年合并一侧或双侧椎动脉狭窄（狭窄程度大于70%）的锁骨下动脉闭塞症患者（椎动脉病变组，42例）的临床资料，总结该组患者的窃血类型、侧支循环及临床症状特征；以不合并椎动脉病变的锁骨下动脉闭塞症患者为对照（113例，对照组），分析比较椎动脉病变与否对窃血程度及后循环缺血症状的影响。结果椎动脉病变组：无窃血14例，Ⅰ型4例，Ⅱ型17例，Ⅲ型7例；对照组：Ⅰ型2例，Ⅱ型13例，Ⅲ型98例，两组窃血类型比较差异有统计意义（P＜0.05）。合并对侧椎动脉病变组有脑缺血症状患者占89.5%（17/19），对照组有脑缺血症状者占63.7%（72/113），两组比较差异有统计意义（P＜0.05）。结论椎动脉闭塞性病变可影响锁骨下动脉闭塞症的窃血程度及临床表现。
目的：探討椎動脈病變對鎖骨下動脈閉塞癥的竊血程度及臨床錶現的影響。方法迴顧性分析2000年至2012年閤併一側或雙側椎動脈狹窄（狹窄程度大于70%）的鎖骨下動脈閉塞癥患者（椎動脈病變組，42例）的臨床資料，總結該組患者的竊血類型、側支循環及臨床癥狀特徵；以不閤併椎動脈病變的鎖骨下動脈閉塞癥患者為對照（113例，對照組），分析比較椎動脈病變與否對竊血程度及後循環缺血癥狀的影響。結果椎動脈病變組：無竊血14例，Ⅰ型4例，Ⅱ型17例，Ⅲ型7例；對照組：Ⅰ型2例，Ⅱ型13例，Ⅲ型98例，兩組竊血類型比較差異有統計意義（P＜0.05）。閤併對側椎動脈病變組有腦缺血癥狀患者佔89.5%（17/19），對照組有腦缺血癥狀者佔63.7%（72/113），兩組比較差異有統計意義（P＜0.05）。結論椎動脈閉塞性病變可影響鎖骨下動脈閉塞癥的竊血程度及臨床錶現。
목적：탐토추동맥병변대쇄골하동맥폐새증적절혈정도급림상표현적영향。방법회고성분석2000년지2012년합병일측혹쌍측추동맥협착（협착정도대우70%）적쇄골하동맥폐새증환자（추동맥병변조，42례）적림상자료，총결해조환자적절혈류형、측지순배급림상증상특정；이불합병추동맥병변적쇄골하동맥폐새증환자위대조（113례，대조조），분석비교추동맥병변여부대절혈정도급후순배결혈증상적영향。결과추동맥병변조：무절혈14례，Ⅰ형4례，Ⅱ형17례，Ⅲ형7례；대조조：Ⅰ형2례，Ⅱ형13례，Ⅲ형98례，량조절혈류형비교차이유통계의의（P＜0.05）。합병대측추동맥병변조유뇌결혈증상환자점89.5%（17/19），대조조유뇌결혈증상자점63.7%（72/113），량조비교차이유통계의의（P＜0.05）。결론추동맥폐새성병변가영향쇄골하동맥폐새증적절혈정도급림상표현。
Objective To investigate the effect of vertebral artery occlusive disease on steal level of patients with subclavian arterial occlusive disease and their clinical symptom.Methods The data of 42 patients(vertebral artery lesion group) with the subclavian arterial occlusiove disease combined with unilateral or bilateral vertebral artery stenosis(stenosis degree>70%)between 2000 and 2012 were analyzed retrospectively. Steal type, collateral circulation and clinical sympotom of patients were reviewed. Compared with control group(113 cases),who suffered from the subclavian arterial occlusion without vertebral artery stenosis, the effect of vertebral artery stenosis on the subclavian arterial steal degree and posterior circulation ischemia symptoms was studied.Results In the vertebral artery lesions group, there were 14 cases wihout steal phenomenon, 4 cases with type I steal ,17 cases with type Ⅱ steal , 7 cases with type Ⅲsteal. In the control group, there were 2 cases with type I steal ,13 cases with typeⅡsteal , 98 cases with typeⅢsteal. And the differences of steal type between the two groups were statistically significant(P<0.05). In the vertebral artery lesions group, 89.5%(17/19)of patients with the subclavian arterial occlusiove disease combined with contralateral vertebral artery stenosis suffered from cerebral ischemia, but cerebral ischemia occurred in 63.7%(72/113)cases in the control group. And the differences of cerebral ischemia rate between the two groups were statistically significant(P<0.05).Conclusion For the patient with the subclavian arterial occlusive disease,vertebral artery occlusive disease can affect the degree of steal and clinical symptom.
