CAJ | 학술논문

目的：应用扩散加权成像（ DWI ）序列探讨脑干急性梗死发生部位情况。方法回顾性分析经临床和DWI证实的脑干急性梗死患者175例（发病时间<14d），比较急性梗死灶在脑干不同部位中的发生率。结果175例脑干急性梗死中，桥脑、延髓和中脑急性梗死的发生率分别为81.7%（143/175）、12.0%（21/175）和11.4%（20/175）。经统计学处理，桥脑急性梗死发生率明显高于延髓和中脑（ P<0.001）。结论桥脑是脑干急性梗死中发生率最高的部位（约占4/5）。
목적：응용확산가권성상（ DWI ）서렬탐토뇌간급성경사발생부위정황。방법회고성분석경림상화DWI증실적뇌간급성경사환자175례（발병시간<14d），비교급성경사조재뇌간불동부위중적발생솔。결과175례뇌간급성경사중，교뇌、연수화중뇌급성경사적발생솔분별위81.7%（143/175）、12.0%（21/175）화11.4%（20/175）。경통계학처리，교뇌급성경사발생솔명현고우연수화중뇌（ P<0.001）。결론교뇌시뇌간급성경사중발생솔최고적부위（약점4/5）。
Objective:To investigate the position of acute brainstem infarction on diffusion-weighted imaging( DWI). Methods:All 175 acute brainstem infarction patients including 120 males and 55 females,with mean age of 63. 5 years, age range between 28~94 years,and the course of less than 14 days,who were confirmed by clinical diagnosis and DWI, were evaluated retrospectively. The incidence of acute infarction in different parts of the brainstem was compared. Results:Incidences of occurrence of pons,medulla oblongata and midbrain were 81. 7%(143/175),12. 0%(21/175)and 11. 4%(20/175)respectively. The incidence of pons with acute infarction was significantly higher than those of medulla oblongata and midbrain(P<0. 001). Conclusion:Acute brainstem infarction mostly occurs in the pons(approximately 4/5).