摘要
目的分析CTA成像评估后循环缺血(PCI)患者受累椎动脉血管的可行性。方法收集我院2017年3月至2019年5月收治的113例PCI患者的临床资料,所有患者均进行CTA检查,观察患者所得图像,了解患者其椎动脉狭窄情况、横突孔和钩椎关节以及其颈内动脉系统情况,并比较脑梗死与短暂性脑缺血发作者血管异常程度情况。结果脑梗死患者中重度狭窄情况为41.67%,明显高于短暂性脑缺血发作组(18.46%,P<0.05);脑梗死血管正常情况低于短暂性脑缺血发作组(P<0.05);113例PCI患者,CTA检查共有73.45%可见有椎基底动脉、颈内动脉系统等血管异常结构,其中75.92%为椎基底动脉系统狭窄,又以椎动脉V1段(22.22%)、V4段(17.46%)狭窄最为常见;24.09%为颈动脉系统狭窄。有45例患者可见横突孔狭窄/椎关节增生者但不伴有血管病变。26.54%患者血管、颈椎骨无明显异常。结论 CTA成像评估PCI患者受累椎动脉血管的可行性高,可对PIC患者病情做出全面评估,在为患者治疗方案选择、病情监测中有重要临床指导价值。
Objective To analyze the feasibility of CTA imaging to evaluate the affected vertebral artery in patients with posterior circulation ischemia(PCI).Methods The clinical data of 113 PCI patients admitted to our hospital from March 2017 to May 2019 were collected.All patients underwent CTA examination.The patient’s images were observed to understand the patient’s vertebral artery stenosis,transverse fora men,uncovertebral joint,and the internal carotid artery system and compare the degree of vascular abnormalities between patients with cerebral infarction and patients with the transient ischemic attack.Results 41.67%of patients with cerebral infarction had moderate to severe stenosis,which was significantly higher than 18.46%of patients with the transient ischemic attack(P<0.05).The normal rate of blood vessels in the cerebral infa rction group was lower than that in the tra nsient ischemic attack group(P<0.05).In 113 PCI patients,73.45%patients were found to have abnormal vascular structures such as the vertebrobasilar artery and internal carotid artery system,of which75.92%were vertebrobasilar artery stenosis,and the stenosis of the V1 segment(22.22%)and V4 segment(17.46%)of the vertebral a rtery a re the most common.24.09%were internal ca rotid a rtery system stenosis.45 patients showed transverse foramen stenosis/vertebral joint hyperplasia but no vascular lesions.26.54%of patients had no apparent abnormalities in blood vessels and cervical vertebrae.Conclusion CTA imaging has high feasibility to evaluate the affected vertebral artery in PCI patients.It can make a comprehensive assessment for the condition of PIC patients and has importa nt clinical guidance value in the selection of the treatment options and in the monitoring of condition of patients.
作者
田志勇
孟凯龙
李爱华
王宽
刘丹
TIAN Zhi-yong;MENG Kai-long;LI Ai-hua;WANG Kuan;LIU Dan(CT/MR Room,No.1 Hospital Of Handan City,Handan 056002,Hebei Province,China)
出处
《中国CT和MRI杂志》
2021年第6期43-45,共3页
Chinese Journal of CT and MRI
基金
邯郸市科学技术局指导项目(1623208064-11)。
