神经损伤与功能重建2011，Vol.6Issue(5)：343-346,4.DOI:10.3870/sisscj.2011.05.006
缺血性脑血管病患者脑动脉狭窄特点及相关危险因素分析
Characteristics of Cerebral Artery Atherosclerotic Stenosis of Patients with Ischemic Cerebrovascular Disease and the Related Risk Factors Analysis
陈涛 1李正军 2龚家明 1蒋开夫 1杨小梅 1田代实3
作者信息
- 1. 安康市中心医院神经内科,陕西安康725000
- 2. 安康市中心医院影像中心,陕西安康725000
- 3. 华中科技大学同济医学院附属同济医院神经内科,武汉,430030
- 折叠
摘要
Abstract
Objective: To investigate the distribution pattern of cerebral artery atherosclerotic stenosis among patients with ischemic cerebrovascular disease, and to analyze the related risk factors. Methods: 98 patients with ischemic cerebrovascular disease were performed with DSA. The distribution pattern of cerebral artery atherosclerotic stenosis and the related risk factors were retrospectively analyzed. Results; Among 98 patients, 70 had cerebral artery stenosis or occlusion, 20 cases showed extracranial stenosis; 32 intracranial stenosis, and 18 both ex-tracranial and intracranial stenosis. Intracranial stenosis commonly affected the middle cerebral artery whereas entracranial srenosis or occlusion usually occurred in the common carotid artery bifurcates and internal carotid artery opening. In this study, 34 cases showed anterior circulation insufficiency, 13 the posterior circulation, and 23 the anterior-posterior circulation insufficiency. Old age, hypertension, diabetes, hyperlipidemia were associated with cerebral artery stenosis. Conclusion; In general, the incidence of extracranial atherosclerotic steno-occlusive lesions is higher than that of the intracranial arteries. The anterior circulation atherosclerotic steno-occlusive lesions are more frequent than those of the posterior circulation. Old age, hypertension, diabetes , and hyperlipidemia are the risk factors for intra-extracranial atherosclerotic steno-occlusive lesions.关键词
缺血性脑血管病/数字减影血管造影/脑动脉狭窄/危险因素Key words
ischemic cerebrovascular disease/ digital subtraction angiography/ cerebral artery stenosis (risk factors分类
医药卫生引用本文复制引用
陈涛,李正军,龚家明,蒋开夫,杨小梅,田代实..缺血性脑血管病患者脑动脉狭窄特点及相关危险因素分析[J].神经损伤与功能重建,2011,6(5):343-346,4.
