CAJ | 학술논문

目的探讨短暂性脑缺血发作(TIA)患者ABCD3评分与供血动脉狭窄分布的关系.方法前瞻性研究60例TIA患者入院时的ABCD3评分及头颈CT血管造影、颈部血管超声资料,根据ABCD3评分,分为≥4分组(中、高危组)和<4分组(低危组),根据头颈CTA和颈部血管超声的影像学结果,分为单只血管窄组(单独颈部血管或颅内血管);多只血管狭窄组(包括颈部血管和颅内血管);无血管狭窄组.评价ABCD3评分与脑供血动脉狭窄分布的相关性,初步探讨TIA预后评估的可能机制.结果≥4分组(中、高危组)患者动脉狭窄比例高于<4分组(低危组),以颅内血管狭窄为主,出现多支供血动脉狭窄病变比例高于低危组.结论 TIA患者颅内血管狭窄病变较颈部血管狭窄发生率高,ABCD3评分≥4分时颅内多支动脉狭窄发生率增高.
목적탐토단잠성뇌결혈발작(TIA)환자ABCD3평분여공혈동맥협착분포적관계.방법전첨성연구60례TIA환자입원시적ABCD3평분급두경CT혈관조영、경부혈관초성자료,근거ABCD3평분,분위≥4분조(중、고위조)화<4분조(저위조),근거두경CTA화경부혈관초성적영상학결과,분위단지혈관착조(단독경부혈관혹로내혈관);다지혈관협착조(포괄경부혈관화로내혈관);무혈관협착조.평개ABCD3평분여뇌공혈동맥협착분포적상관성,초보탐토TIA예후평고적가능궤제.결과≥4분조(중、고위조)환자동맥협착비례고우<4분조(저위조),이로내혈관협착위주,출현다지공혈동맥협착병변비례고우저위조.결론 TIA환자로내혈관협착병변교경부혈관협착발생솔고,ABCD3평분≥4분시로내다지동맥협착발생솔증고.
@@@@Objective To explore the correlation between transient ischemic attack and artery stenosis with ABCD3 score. Methods Retrospective study of 35 cases of TIA patients admitted to hospital ABCD3 score and head CTA, carotid doplex ultrasound data, according to ABCD3 score, divided into>4 grouping (in high-risk group) and group (low-risk group), according to CTA of head and neck and vascular ultrasound imaging results, divided into single blood vessels narrow group (separate blood vessels of the neck or intracranial vessels);single vascular stenosis group (including the neck vessels and intracranial blood vessels);multivascular stenosis group. The evaluation ABCD3 score and cerebral artery stenosis distribution of correlation, and the possible mechanism of TIA prognosis. Result ≥4 grouping (high-risk group) in patients with intracranial arterial stenosis is higher than the<4 group (low-risk group),multi-branch artery stenosis lesions proportion is also higher than the low-risk group. Conclusion Patients with TIA and intracranial vascular stenosis have the higher incidence of neck vascular stenosis. Meanwhile ABCD3 score≥4 grouping has the higher incidence of intracranial artery stenosis.