CAJ | 학술논문

目的：分析高龄脑血管病病人行脑血管造影的临床效果。方法整群选择该院收治的61例行脑血管造影的高龄脑血管病患者，对其造影方法、病变分布及相关并发症等情况给予回顾性分析。结果61例患者中，57例(93.44%)患者经股动脉完成造影，4例(6.56%)经肱动脉完成造影。46例缺血性脑血管病患者共有颅内外动脉狭窄与闭塞病变120处，其中前循环75处(62.50%)，后循环45处(37.50%)；颅内病变50处(41.67%)，颅外病变70处(58.33%)；6例(13.04%)患者存在未破裂动脉瘤7个。15例出血性脑血管病患者中发现11例(73.33)患者存在颅内动脉瘤15个。61例患者中出现并发症5例(8.20%)。结论高龄脑血管病患者采用脑血管造影具有较佳的诊疗效果，可以有效提示病变部位，安全性佳，适于临床推广。
목적：분석고령뇌혈관병병인행뇌혈관조영적림상효과。방법정군선택해원수치적61례행뇌혈관조영적고령뇌혈관병환자，대기조영방법、병변분포급상관병발증등정황급여회고성분석。결과61례환자중，57례(93.44%)환자경고동맥완성조영，4례(6.56%)경굉동맥완성조영。46례결혈성뇌혈관병환자공유로내외동맥협착여폐새병변120처，기중전순배75처(62.50%)，후순배45처(37.50%)；로내병변50처(41.67%)，로외병변70처(58.33%)；6례(13.04%)환자존재미파렬동맥류7개。15례출혈성뇌혈관병환자중발현11례(73.33)환자존재로내동맥류15개。61례환자중출현병발증5례(8.20%)。결론고령뇌혈관병환자채용뇌혈관조영구유교가적진료효과，가이유효제시병변부위，안전성가，괄우림상추엄。
Objective To analyze the clinical effects of cerebrovascular disease of elderly patients undergoing cerebral angiography. Methods Contrast method, distribution of lesions and complications of 61 elderly patients with cerebrovascular disease who received cerebral angiography were retrospectively analyzed. Results In 61 patients, 57 cases (93.44%) patients completed the femoral artery angiography, 4 cases (6.56%) after completion of the brachial artery angiography. 46 patients with ischemic cerebrovascular disease total intracranial arterial stenosis and occlusion 120, of which the first cycle of 75 (62.50%), posterior circulation 45 (37.50%); intracranial lesions, 50 (41.67%), cranial outside the lesion 70 (58.33%);6 cases (13.04%) patients with unruptured aneurysms 7. 15 patients with hemorrhagic cerebrovascular disease found in 11 cases (73.33) in patients with intracranial aneurysms 15. Complications in 5 cases (8.20%) appeared in 61 patients. Conclusion Angiography for elderly patients with cerebrovascular disease has better clinical results: it can effectively prompt the lesion and is with good security. So it is suitable for clinical practice.