CAJ | 학술논문

目的探讨脑梗死患者头颅MRA表现与血管性痴呆(VD)的相关性.方法对卒中半年以上的患者,根据简易精神状态检查量表(MMSE)、临床痴呆评定量表(CDR)评分分为VD组及脑卒中后无痴呆(SWD)组,并回顾性分析两组在卒中的MRA资料.结果 VD组中后循环系统、大脑前动脉、大脑中动脉的深穿支及大脑动脉终未分支MRA闭塞、狭窄及硬化率明显高于SWD组(P＜0.05).其中后循环中椎动脉及基底动脉闭塞、狭窄及硬化最为明显(P＜0.05),脑血管淀粉样变患者后循环系统、大脑前动脉发生闭塞、狭窄及硬化的机率明显增高(P＜0.05).结论后循环系统、大脑前动脉及大脑动脉终未分支MRA闭塞、狭窄及硬化可作为发展为VD的预测指标,椎动脉及基底动脉闭塞、狭窄及硬化对本病的预测尤为重要.
목적 탐토뇌경사환자두로MRA표현여혈관성치태(VD)적상관성.방법 대졸중반년이상적환자,근거간역정신상태검사량표(MMSE)、림상치태평정량표(CDR)평분분위VD조급뇌졸중후무치태(SWD)조,병회고성분석량조재졸중적MRA자료.결과 VD조중후순배계통、대뇌전동맥、대뇌중동맥적심천지급대뇌동맥종미분지MRA폐새、협착급경화솔명현고우SWD조(P＜0.05).기중후순배중추동맥급기저동맥폐새、협착급경화최위명현(P＜0.05),뇌혈관정분양변환자후순배계통、대뇌전동맥발생폐새、협착급경화적궤솔명현증고(P＜0.05).결론 후순배계통、대뇌전동맥급대뇌동맥종미분지MRA폐새、협착급경화가작위발전위VD적예측지표,추동맥급기저동맥폐새、협착급경화대본병적예측우위중요.
Objective To study the relationship between MRA imaging and vascular dementia (VD) of patients with cerebral stroke (CS).Methods Patients who had CS more than 6 months were divided into vascular dementia group and no vascular dementia group according to results of Minimum Mental State Examination (MMSE) and Clinical Dementia Rating (CDR).MRA data of two groups were reviewed and analyzed retrospectively.Results The rates of MRA blocking,stricture and sclerosis of back circulation system,anterior cerebral artery,deep perforators of middle cerebral artery,brain artery terminal branch in VD group were more than those in no vascular dementia group (P ＜ 0.05).Blocking,stricture and sclerosis of vertebral artery and basilar artery was evidence (P ＜ 0.05).The rates of blocking,stricture and sclerosis of back circulation system,anterior cerebral artery in patients with cerebral amyloid angiopathy were significantly higher than those in no vascular dementia group (P ＜ 0.05).Conclusions MRA blocking,stricture and sclerosis of back circulation system,anterior cerebral artery,brain artery terminal branch can be used as predictive indexes of VD,blocking,stricture and sclerosis of vertebral artery and basilar artery is important to VD.