检验医学与临床Issue(2)：178-180,3.DOI:10.3969/j.issn.1672-9455.2014.02.014
头颈部CT血管成像对脑梗死与颈脑动脉狭窄的关系研究及危险因素相关分析
Study on relationship between cervicocerebral CT angiography with cerebral infarction and carotid and cerebral artery stenosis and correlation analysis of risk factors
摘要
Abstract
Objective To study the relationship between 128-slice spiral computed tomography angiography (128-SCTA) with cerebral infarction and carotid and cerebral artery stenosis and to perform the correlation analysis of risk factors .Methods The patients with carotid and cerebral artery stenosis discovered by 128-SCTA were divided into the cerebral infarction group and non-cerebral infarction group .The various postprocessings techniques were per-formed to conduct the vascular postprocessing and the comparaive analysis .The clinical data in 606 cases of cervicoce-rebral vascular diseases treated from September 2011 to October 2012 were performed the retrospective analysis .Re-sults The proportion of internal carotid arterial stenosis had the highest proportion (24 .00% ) ,followed by external carotid arterial stenosis(12 .79% ) and vertebrobasilar arterial stenosis was least (5 .57% ) .Cervicocerebral arterial stenosis in the left side was significantly higher than that in the right side .The initial part of internal and external ca-rotid arterial stenosis was the most common sites of involement .The incidence rate in bilateral middle ,posterior cere-bral arterial stenosis was higher than that in the anterior cerebral arterial stenosis .The incidence rate of cervicocere-bral arterial stenosis in the cerebral infarction group was significantly higher than that in the non-cerebral infarction group ,the difference between the two groups showing statistical significance (P< 0 .01) .The non-calcified plaque de-tection rate in the cerebral infarction group was significantly higher than that in the non-cerebral infarction group ,the differences between them was statistically significant (P < 0 .05) .Conclusion The cerebral infarction occurrence is closely related with cervicocerebral artery stenosis .The location ,range ,quantity ,character and stenosis degree of plaque in the cervicocerebral arterial stenosis are the important risk factors of cerebral infarction.关键词
颈脑动脉狭窄/脑梗死/多层螺旋CT血管成像Key words
carotid and cerebral artery stenosis/cerebral infarction/computer tomography angiography引用本文复制引用
刘国庆,何泽清,杨秀娟..头颈部CT血管成像对脑梗死与颈脑动脉狭窄的关系研究及危险因素相关分析[J].检验医学与临床,2014,(2):178-180,3.
