国际神经病学神经外科学杂志2025，Vol.52Issue(4)：6-10,5.DOI:10.16636/j.cnki.jinn.1673-2642.2025.04.002
急性脑梗死磁共振弥散加权成像特征在血管内血栓切除术后颅内出血的预测价值
Value of diffusion-weighted imaging features in predicting intracranial hemorrhage after endovascular thrombectomy in patients with acute cerebral infarction
李刚 1陆志前 1刘建光1
作者信息
- 1. 宣城市人民医院,安徽 宣城 242000
- 折叠
摘要
Abstract
Objective To investigate the value of MRI diffusion-weighted imaging(MRI DWI)in predicting intracranial hemorrhage after endovascular thrombectomy(EVT)in patients with acute cerebral infarction(ACI).Methods A total of 107 patients with ACI who underwent EVT in Xuancheng People's Hospital from August 2021 to December 2023 were enrolled,and according to the presence of absence of intracranial hemorrhage after EVT,the patients were divided into hemorrhage group and non-hemorrhage group.General data were collected,and infarct volume and Tmax on DWI were calculated.Results There were no significant differences between the two groups in the time from disease onset to admission,EVT,and the time of intravenous thrombolysis(P>0.05),and after treatment,the hemorrhage group had significantly higher fasting blood glucose,HbAlc and DWI value than the non-hemorrhage group(P<0.05).HbAlc,fasting blood glucose,and DWI infarct volume were predictive factors for hemorrhage after EVT in patients with ACI(P<0.05).Conclusions MRI DWI features,fasting blood glucose,and HbA1c can be used as predictive factors for intracranial hemorrhage after EVT in patients with in acute cerebral infarction,and these factors are significantly associated with the risk of postoperative intracranial hemorrhage.关键词
急性脑梗死/磁共振成像/弥散加权成像/颅内出血/糖化血红蛋白Key words
acute cerebral infarction/magnetic resonance imaging/diffusion-weighted imaging/intracranial hemorrhage/HbAlc分类
医药卫生引用本文复制引用
李刚,陆志前,刘建光..急性脑梗死磁共振弥散加权成像特征在血管内血栓切除术后颅内出血的预测价值[J].国际神经病学神经外科学杂志,2025,52(4):6-10,5.
