CAJ | 학술논문

目的：探讨青年急性缺血性卒中牛津郡社区卒中项目(OCSP)MR 分型和临床分型的诊断价值。方法回顾分析164例青年(18~45岁)和228例老年(>60岁)急性缺血性卒中 MR 表现。参考 OCSP 影像分型和临床分型分为4组：完全前循环梗死组(TACI 组),部分前循环梗死组(PACI 组),后循环梗死组(POCI 组)和腔隙性脑梗死(LACI 组)。结果脑梗死 T1 WI 表现为略低信号,T2 WI 表现为略高信号,FLAIR、磁共振扩散加权成像(DWI)表现为高信号。按照 OCSP 影像分型：①TACI 组8例(4.88%),PACI组72例(43.90%),POCI 组30例(18.29%),LACI 组54例(32.93%)。青年和老年影像分型比较,χ2=1.221,P >0.05。青年急性缺血性卒中 OCSP 影像分型和临床分型比较,Kappa=0.525,P <0.05。结论OCSP 影像分型和临床分型具有较好的一致性,有助于青年急性缺血性卒中的客观评价。
목적：탐토청년급성결혈성졸중우진군사구졸중항목(OCSP)MR 분형화림상분형적진단개치。방법회고분석164례청년(18~45세)화228례노년(>60세)급성결혈성졸중 MR 표현。삼고 OCSP 영상분형화림상분형분위4조：완전전순배경사조(TACI 조),부분전순배경사조(PACI 조),후순배경사조(POCI 조)화강극성뇌경사(LACI 조)。결과뇌경사 T1 WI 표현위략저신호,T2 WI 표현위략고신호,FLAIR、자공진확산가권성상(DWI)표현위고신호。안조 OCSP 영상분형：①TACI 조8례(4.88%),PACI조72례(43.90%),POCI 조30례(18.29%),LACI 조54례(32.93%)。청년화노년영상분형비교,χ2=1.221,P >0.05。청년급성결혈성졸중 OCSP 영상분형화림상분형비교,Kappa=0.525,P <0.05。결론OCSP 영상분형화림상분형구유교호적일치성,유조우청년급성결혈성졸중적객관평개。
Objective To evaluate the MRI and clinic types of oxfordshire community stroke project(OCSP)in the diagnosis of acute young ischemic stroke patients.Methods 1 64 young patients (18-45 years)and 228 old patients (>60 years)with acute ischemic stroke were analyzed retrospectively.There are four groups according to MR and clinic types of OCSP:total anterior circulation infarct (TACI),partial anterior circulation infarction (PACI),posterior circulation infarction(POCI)and lacunar infarction (LACI).Results Cerebral infarction showed a mild hypo-signal on T1 WI,hyper-signal on T2 WI,FLAIR and DWI.Among the 164 young patients,8 (4.88%)were classified as TACI,72 (43.90%)as PACI,30 (18.29%)as POCI and 54 (32.93%)as LACI.Young and old group image types comparison,χ2 = 1.221,P >0.05.Young stroke patients image and clinical types comparison,Kappa =0.525,P <0.05.Conclusion OCSP imaging types has a good consistency with clinical types,which helps to evaluate ischemic stroke objectively in youth.