摘要
目的对265例缺血性脑血管病患者的DSA资料进行分析,进一步评价DSA在缺血性脑血管病诊治中的意义。方法对265例确诊为缺血性脑血管病的患者于发病后2h^6个月行全脑血管造影,明确有无脑供血动脉狭窄或闭塞,明确血管狭窄部位及责任动脉,并测定狭窄长度及狭窄程度。结果 265例缺血性脑血管病患者脑供血动脉狭窄或闭塞的发生率为72.1%。缺血性脑血管病患者脑血管狭窄或闭塞的好发部位依次为颈内动脉起始部(16.4%)、大脑中动脉水平段(13.9%)、椎动脉开口处(12.3%)。单发脑供血动脉狭窄或闭塞88例(46.1%),多发脑供血动脉狭窄或闭塞103例(53.9%),其中颅内外动脉串联病变43例(41.7%),颅内外非串联病变60例(58.3%)。责任动脉的检出率为77%。结论对反复卒中及患糖尿病的缺血性卒中患者应行DSA以明确患者有无颅内外脑供血动脉狭窄,以制定包括药物及支架置入术等更为有效的二级预防。
Objective To analyze DSA data of 265 patients with ischemic cerebrovascular disease,further evaluation the significance of DSA in the diagnosis and treatment of ischemic cerebrovascular disease.Methods 265 patients with ischemic cerebrovascular disease were performed DSA after onset 2h ～ 6 months.To clear existence of cerebral artery stenosis or occlusion,responsibility artery stenoses and measurement of stricture length and the degree of stenosis.Results The rate of cerebral artery stenosis or occlusion in 265 patients was 72.1%.Ischemic cerebrovascular disease in patients with cerebral vascular stenosis or occlusion of the predilection sites were the Ministry of the internal carotid artery（16.4%）,horizontal segment of middle cerebral artery（13.9%）,vertebral artery openings（12.3%）.Single cerebral artery stenosis or occlusion of 88 cases（46.1%）,multiple cerebral artery stenosis or occlusion of 103 cases（53.9%）,including intracranial artery tandem lesions in 43 cases（41.7%）,intracranial non-tandem lesions of 60 patients（58.3%）.Responsibility for detection of the artery was 77%.Concluosion Those patients with recurrent stroke and diabetes should be performed DSA to clarify whether intracranial/ extracranial cerebral artery stenosis exist,and develop more effective secondary prevention including drug and stent implantation.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2011年第7期641-644,共4页
Journal of Apoplexy and Nervous Diseases
