磁共振血管造影诊断脑梗死患者颅内动脉硬化程度的探讨.docVIP

磁共振血管造影诊断脑梗死患者颅内动脉硬化程度的探讨 　　[摘要] 目的 探讨磁共振血管造影诊断脑梗死患者颅内动脉硬化程度的意义。 方法 选择47例脑梗死患者，根据梗死面积不同分为1.5 cm2者26例，1.5 cm2者（P 1.5 cm2者（P 1.5 cm2者（P 1.5 cm2者（P 0.05）。 结论 磁共振血管造影提高了患者的舒适度，尤其是对于意识障碍及年老体弱呼吸功能较差患者，通过动脉闭塞情况可以反映动脉硬化程度，具有重要的临床应用价值。 　　[关键词] 磁共振血管造影；脑梗死；动脉硬化 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-4721（2013）06（c）-0102-02 　　Discussion of magnetic resonance angiography in the diagnosis of the extent of intracranial arteriosclerosis to the cerebral infarction patients 　　JIANG Ying 　　Department of Radiology， the First Peoples Hospital of Shenyang City in Liaoning Province， Shenyang 110041， China 　　[Abstract] Objective To discuss the significance of magnetic resonance angiography in the diagnosis of the extent of intracranial arteriosclerosis to the cerebral infarction patients. Methods 47 cases of cerebral infarction pitients were according to the area of infarction were divided into two groups， the greater than 1.5 cm2 group with 26 cases and less than 1.5 cm2 with 21 cases， then the relationship between magnetic resonance angiography in the diagnosis and the extent of atherosclerosis and cerebral infarction infarction area were summarized. Results The proportion of mild atherosclerosis occured in patients with cerebral infarction area less than 1.5 cm2 was greater than the patients whose cerebral infarction area greater than 1.5 cm2（P 0.05）， and the severe arteriosclerosis ratio was lower than the patients whose infarct size greater than 1.5 cm2 （P 0.05）， the proportion of normal blood vessels was higher than the patients whose infarct size greater than 1.5 cm2 （P 0.05）， the detection of occlusion ratio was lower than the patients whose infarct size greater than 1.5 cm2（P 0.05）. Conclusion Magnetic resonance angiography can improve the patients comfort，especially for the disturbance of consciousness and the frail elderly patients with poor respiratory function， through the checking of artery occlusion can reflect the degree of atherosclerosis，so it has important