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旋转性椎动脉闭塞综合征与后循环缺血事件的相关性分析

冯倩帆 魏莹 张勇

中风与神经疾病杂志2025,Vol.42Issue(3):239-243,5.
中风与神经疾病杂志2025,Vol.42Issue(3):239-243,5.DOI:10.19845/j.cnki.zfysjjbzz.2025.0048

旋转性椎动脉闭塞综合征与后循环缺血事件的相关性分析

Association between rotational vertebral artery occlusion syndrome and posterior circulation ischemic events

冯倩帆 1魏莹 2张勇2

作者信息

  • 1. 开封市中心医院超声科,河南 开封 475000
  • 2. 郑州大学第一附属医院磁共振科,河南 郑州 450052
  • 折叠

摘要

Abstract

Objective To investigate the incidence rate and location of rotational vertebral artery occlusion syndrome and its association with the symptoms of posterior circulation ischemia,the lesions of posterior circulation infarction,and newly-onset posterior circulation stroke.Methods A total of 283 patients who met the criteria were included,and the patients with positive results of neck rotation test and those with negative results were compared in terms of symptoms,imaging findings,and newly-onset posterior circulation stroke during follow-up.The chi-square test or the Fisher's exact test was used for comparison of categorical data between two groups,with P<0.05 indicating statistical significance.Results Among the 283 patients enrolled,23(8.13%)met the diagnostic criteria for rotational vertebral artery occlusion syndrome.There was no significant difference in posterior circulation ischemic symptoms between the positive group and the negative group(P=0.089),and compared with the negative group,the positive group had significantly higher numbers of posterior circulation infarcts at baseline and newly-onset cases of posterior circulation stroke during follow-up(P=0.010 and 0.009).Conclusion Rotational vertebral artery occlusion syndrome significantly increases the risk of posterior circulation infarction.

关键词

颈部血管超声/转颈试验/旋转性椎动脉闭塞综合征/卒中

Key words

Cervical vascular ultrasound/Neck rotation test/Rotational vertebral artery occlusion syndrome/Stroke

分类

医药卫生

引用本文复制引用

冯倩帆,魏莹,张勇..旋转性椎动脉闭塞综合征与后循环缺血事件的相关性分析[J].中风与神经疾病杂志,2025,42(3):239-243,5.

基金项目

河南省医学科技攻关联合共建项目(LHGJ20230202) (LHGJ20230202)

中风与神经疾病杂志

1003-2754

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