中国脑血管病杂志Issue(8)：426-429,4.DOI:11.3969/j.issn.1672-5921.2015.08.007
症状性单纯大脑中动脉狭窄患者卒中复发和临床预后及血管改变的随访分析
Symptomatic middle cerebral artery stenosis:stroke recurrence,clinical prognosis and vascular change
摘要
Abstract
objective To investigate the recurrence of stroke,clinical prognosis and vascular changes in patients with ischemic stroke due to middle cerebral artery stenosis. Methods The ischemic stroke patients with symptomatic middle cerebral artery stenosis were enrolled continuously and followed up prospectively for six months. The recurrence of ipsilateral stroke,clinical prognosis and dynamic changes of vessels were analyzed. Results Eighty patients were included,and 20.0% of the patients(16 cases)presented with recurrence of ipsilateral ischemic stroke and 56 cases (70.0%)with a good outcome(modified Rankin scale[mRS]≤1)during the 6 months follow-up;38.6% patients (27 cases) presented with significant vascular changes with progression in 12 cases (17.1%)and regression in 15 cases (21.4%). Conclusion The patients with simple symptomatic middle cerebral artery stenosis have an high rate recurrence of ipsilateral stroke but have good prognosis;Lesioned artery of the majority of patients in the short period after stroke was stable,but vascular stenosis in some patients could appear progression or remission.关键词
大脑中动脉/狭窄/症状性大脑中动脉狭窄/缺血性卒中Key words
Middle cerebral artery/Stenosis/Symptomatic middle cerebral artery stenosis/Ischemic stroke引用本文复制引用
薛素芳,宋晓微,任怡,马青峰,武剑..症状性单纯大脑中动脉狭窄患者卒中复发和临床预后及血管改变的随访分析[J].中国脑血管病杂志,2015,(8):426-429,4.基金项目
国家自然科学基金资助项目 （）
