CAJ | 학술논문

目的：探讨Willis环血流代偿与脑分水岭梗死短期预后的关系。方法对2012—2014年在大庆油田总医院神经内科住院的脑分水岭梗死患者进行头部CT血管成像检查（ CTA），分析Willis环血流代偿情况对患者短期预后的影响。结果在95例脑分水岭梗死患者中，25．3％（24／95）前交通开放、24．2％（23／95）后交通开放、33．7％（32／95）前后交通均开放、16．8％（16／95）前后交通均不开放。71．6％（68／95）脑分水岭梗死病例预后良好、28．4％（27／95）预后不良。 Willis环开放组与不开放组间预后不同（P＜0．05）。结论 Willis环开放不良的脑分水岭梗死短期预后不佳，应多加关注。
목적：탐토Willis배혈류대상여뇌분수령경사단기예후적관계。방법대2012—2014년재대경유전총의원신경내과주원적뇌분수령경사환자진행두부CT혈관성상검사（ CTA），분석Willis배혈류대상정황대환자단기예후적영향。결과재95례뇌분수령경사환자중，25．3％（24／95）전교통개방、24．2％（23／95）후교통개방、33．7％（32／95）전후교통균개방、16．8％（16／95）전후교통균불개방。71．6％（68／95）뇌분수령경사병례예후량호、28．4％（27／95）예후불량。 Willis배개방조여불개방조간예후불동（P＜0．05）。결론 Willis배개방불량적뇌분수령경사단기예후불가，응다가관주。
Objective To explore the relationship between circulation compensation in the circle of Willis and short-term prognosis of watershed infarction. Methods All patients who diagnosed as watershed infarction in Daqing Oilfield General Hospital between 2012 and 2014 were performed brain computerized tomography angiography ( CTA). We analyzed the effect of Willis circle 's compensatory circulation on short-term prognosis.Results In 95 cases of cerebral watershed infarction, there were 25.3%(24/95) with the opening of anterior communicating artery, 24.2%(23/95)with the opening of posterior communicating artery ,33.7% (32/95) with the opening of both anterior and posterior communicating artery, and 16.8%( 16/95 ) with the nonopening of both anterior and posterior communicating artery. 71.6% (68/95) watershed infarction patients had good prognosis, 28.4%( 27/95 ) patients had poor prognosis. There was significant difference between patency and impotency of Willis circle (P<0.05).Conclusions Watershed infarction patients with impotency of Willis circle had a poor prognosis, we should pay more attention.