CAJ | 학술논문

目的：探讨腔隙性脑梗死患者脑血管造影脑深部静脉回流形式与动静脉循环时间特征。方法对44例腔隙性脑梗死非急性期患者进行全脑脑血管造影，观察其脑深部静脉回流形式与DSA动静脉循环时间。结果44例腔隙性脑梗死患者大脑深部静脉回流形式I型、Ⅱ型及Ⅲ型分别为8例（18.18％）、10例（22.73％）及26例（59.09％），Ⅲ型与I型及Ⅱ型深部静脉回流方式患者双侧DSA循环时间延长，在统计学上具有显著差异。结论脑部静脉回流形式的不同可能影响脑血流动力学的改变，可能是脑梗死形成的原因之一。
목적：탐토강극성뇌경사환자뇌혈관조영뇌심부정맥회류형식여동정맥순배시간특정。방법대44례강극성뇌경사비급성기환자진행전뇌뇌혈관조영，관찰기뇌심부정맥회류형식여DSA동정맥순배시간。결과44례강극성뇌경사환자대뇌심부정맥회류형식I형、Ⅱ형급Ⅲ형분별위8례（18.18％）、10례（22.73％）급26례（59.09％），Ⅲ형여I형급Ⅱ형심부정맥회류방식환자쌍측DSA순배시간연장，재통계학상구유현저차이。결론뇌부정맥회류형식적불동가능영향뇌혈류동역학적개변，가능시뇌경사형성적원인지일。
Objective To investigate the characteristics of venous drainage patterns and its relationship with cerebral circulation time in lacunar infaction.Methods Digital subtraction angiography ( DSA) were performed in 44 non-acute cases of lacunar infaction , and venous drainage patterns were observed and cerebral circulation time (CCT) was assessed.Results Of the 44 cases,the number of patterns with I type,Ⅱtype and Ⅲtype venous drainage patterns was respectively 8(18.18%),10(22.73%)and 26(59.09%).The patients with ⅢtypevenousdrainagepatternshowedlongerCCTthanthoseofItypeandⅡtypevenousdrainagepatterns.Conclusion Ⅲtypevenous drainage pattern may affect the changes of cerebral hemodynamics ,which may be one of risk factors of cerebral infaretion.