TCD评估大脑中动脉区脑梗死患者的血流动力学变化.pdfVIP

维普资讯 ChinJHemorh．2007；17(4) TCD评估大脑中动脉区脑梗死患者的血流动力学变化 桂 千t，程庆璋 (1．苏州大学附属第二医院，江苏苏州 215004；2．苏州市 医院本部，江苏苏州 215002) 摘要 ：目的 采用 TCD评仙大腑中动脉 (MCA)区腑梗死后的血流动力学变化。方法 对35例经头颅磁共振证 实的MCA区急性脑梗死患者 (病例组 )和30例健康对照组行 TCD检查。结果 病例组患侧MCA流速低于健侧 ，两 侧MCA流速比值低于对照组，两组间有显著性差异；病例组患侧与健侧大腑前动脉(ACA)流速比值高于对照组，两组 问有显著性差异；病例组双侧大脑后动脉(PcA)流速比值跟对照组相比无显著性差异 ；所有病例组患侧MCA脉动指数减 低 (P0．001)。结论 TCD提供的血流动力学参数可以部分反映MCA病变后的侧支循环情况，MCA区脑梗死后侧支 循环代偿以ACA为主。 关键词：大腑 中动脉；梗死；TCD；侧支循环 中图法分类号：R743 文献标识码：A 文章编号：1009-881X(2007)04-0546-03 HemodynamicsChangesinPatientswithCerebralInfarctionofM iddleCere_ bralArteryTerritoryassessedbyTranscranialDoppler GU／Qian，CHENGQing-zhang~ (1．TheSecondHospitalAffiliatedtoSuzhouUniversity，Suzhou215004；2．SuzhouMunicipalHospital， Suzhou215002) Abstract：ObjectiveToevaluatehemodynamicschangesinpatientswithcerebralinfarctionofmiddlecere- brala~ery(MCA)territory．Method ThirtyfivepatientswithacutecerebralinfarctionofMCAterritoryconfirmed byMR1wereselectedtoserveaspatientgroupandthirtyhealthypersonswereselectedascontrols．Allsubjects weremeasuredbyTCD．Results Inpatientgroup．thebloodflowvelocityofMCA inlesionsidewaslowerthanthe other,thebloodvelocityratiosofMCA waslowerthanr~iosincontrols，therewasasignificantdifferencebetween thetwogroups；Theratiosofanteriorcerebralarteryforlesionsidetotheotherinpatientgroupwashigherthan ratiosincontrols，therewasasignificantdifferencebetweenthetwogroups；Therewasnosignificantdifference f0rtheratiosofposteriorcerebralarterybetweenthetwogroups；AllpulsatilityindexofMCA inlesionsidein patientgroupwasdecreased (P0．001)．ConclusionTCDfindingscanpartlyreflectthecollateralpatternsin patientswithMCA stenosisorocclusion．ACA wastheprimarycollateralcirculationinpatients