老年人颈内动脉样硬化与脑梗死类型的临床研究.pdfVIP

目录 一、摘要 中文结构式摘要·················································1 英文结构式摘要·················································3 二、英文缩略语·····················································5 二、论文 前。言·······································-···················6日U舌。。。。。。。。。‘。‘。。。‘‘‘。····················-··················‘ 材料与方法·····················································6 结果···························································8 讨论··························································13 结论··························································15 本研究创新性自我评价··········································16 参考文献······················································17 三、附录 综述···································-······················19 在学期间科研成绩··············································28 致谢··························································29 个人简历······················································30 研究 类型的关 ，详细进 行神经系统的查体，记录脑血管病的危险因素，全部病人均经头M对和DWI成 像及CTA检查，参照Lee DK和Rovira等方法，根据影像学改变将脑梗死分为： 流域性脑梗死；分水岭脑梗死；纹状体内囊梗死；腔隙性脑梗死。采用北美症状 性动脉内膜切除术研究协助组狭窄测量标准，根据血管狭窄程度分为轻．中度狭窄 组(狭窄率69％)、重度狭窄一闭塞组(狭窄率70％)。 圣士里 二日7K 例(29．4％)，两种或两种以上危险因素13例(38．2％)，存在单一血管病危险因素者 血管病变以轻．中度狭窄为主；两种以上危险因素以重度狭窄．闭塞为主，P0．05。 MⅪ显示流域性脑梗死以ICA颅外段重度狭窄．闭塞为主，分水岭脑梗死以ICA 颅内段重度狭窄．闭塞为主，P0．05，腔隙性脑梗死以轻．中度狭窄为主。 结论 颈内动脉粥样硬化性狭窄或闭塞是老年人缺血性脑梗死的主要原因之一。同 时存在两种以上血管病危险因素对血管的损伤非常严重，以重度狭窄一闭塞为主， M砌显示的不同类型脑梗死因血管狭窄或闭塞的部位和发病机制不同，所采取的 治疗方法也各自不同。CTA适用老年人脑梗死血管影像学的检测。 关键词 颈内动脉；脑梗死；老年人；CT血管造影；磁共振成像；弥散加 ◆ 2