CAJ | 학술논문

目的：探讨自发性脑出血患者颈部动脉粥样硬化危险因素及头颈部 CTA 检查的意义。方法：回顾性分析343例行头颈部CTA检查的自发性脑出血患者的临床及CTA影像学资料。采用logistic回归分析ICH 患者颈部动脉粥样硬化的危险因素，并评价头颈部CTA检查在自发性ICH 患者中的应用价值。结果：343例患者中，154例（44．9％）合并颈部动脉粥样硬化。患者的年龄、高血压病史是自发性脑出血患者颈部动脉粥样硬化的危险因素，OR值（95％ CL）分别为1．084（1．060～1．110）、1．957（1．018～3．761）。62岁以上且有高血压的自发性脑出血患者颈部动脉粥样硬化的检出率高于其它各组。结论：头颈部CTA在62岁以上、有高血压的自发性脑出血患者可作为常规的检查方法。
목적：탐토자발성뇌출혈환자경부동맥죽양경화위험인소급두경부 CTA 검사적의의。방법：회고성분석343례행두경부CTA검사적자발성뇌출혈환자적림상급CTA영상학자료。채용logistic회귀분석ICH 환자경부동맥죽양경화적위험인소，병평개두경부CTA검사재자발성ICH 환자중적응용개치。결과：343례환자중，154례（44．9％）합병경부동맥죽양경화。환자적년령、고혈압병사시자발성뇌출혈환자경부동맥죽양경화적위험인소，OR치（95％ CL）분별위1．084（1．060～1．110）、1．957（1．018～3．761）。62세이상차유고혈압적자발성뇌출혈환자경부동맥죽양경화적검출솔고우기타각조。결론：두경부CTA재62세이상、유고혈압적자발성뇌출혈환자가작위상규적검사방법。
Objective:To investigate the risk factors of carotid atherosclerosis and the value of craniocervical CTA in spontaneous intracerebral hemorrhage (ICH).Methods:The clinical materials and CTA images of 343 patients with sponta-neous ICH undergone craniocervical CTA were analyzed retrospectively.The risk factors of carotid atherosclerosis were an-alyzed with logistic regression and the application value of craniocervical CTA in spontaneous ICH were evaluated.Results:Carotid atherosclerosis was detected in 154 patients (44.9%).Age and hypertension were proved to be risk factors of carot-id atherosclerosis in spontaneous ICH,and the OR values (95% CI)were 1.084 (1.060~1.110)and 1.957 (1.018~3.761)respectively.The incidence rate of carotid atherosclerosis was higher in the patients over 62 years old than in the other patients.Conclusion:Craniocervical CTA can be used as a conventional examination for the patients with spontaneous ICH who are older than 62 years and with hypertension.