3.0T高分辨磁共振评价脑缺血患者症状侧与非症状侧颈动脉粥样硬化性斑块的差异.pdfVIP

654 解放军医学院学报 Acad J Chin PLA Med Sch Jul 2014 , 35 (7) 3.0T 高分辨磁共振评价脑缺血患者症状侧与非症状侧颈动脉粥样硬化 性斑块的差异 韩旭，刘丹青，崔豹，马露，李依霞，蔡幼栓，蔡剑呜 解放军总医院放射诊断科，北京 100853 摘要:目的采用 3.0T 高分辨磁共振成像评价脑缺血患者症状侧(患者一侧肢体出现脑缺血临床症状，对侧颈动脉则定义 为症状侧)与非症状侧颈动脉粥样硬化斑块的差异。方法收集 2012 年 6 月 2013 年 6 月本院脑梗死或短暂性脑缺血患 者 102 例， 2 周内进行双侧颈动脉高分辨磁共振成像，分析症状侧与非症状侧颈动脉粥样硬化斑块的差异。结果 102 例脑 缺血患者中，脑梗死 52 例，短暂性脑缺血 50 例。症状侧与非症状侧颈动脉粥样硬化斑块所致颈动脉管腔狭窄程度比较无 统计学差异 (P 0.05) ， 最大管壁厚度及斑块累及范围比较均有显著统计学差异 (P=O.仪泊) ;症状侧颈动脉粥样硬化斑块内易 损成分(出血、富脂质核及纤维帽破裂)的发生率明显高于非症状侧，并且有显著统计学差异 (Z=-6.525 ， P=?.α)())。结论症 状侧颈动脉粥样硬化斑块的严重性及易损性明显高于非症状侧斑块，症状侧斑块内易损成分发生率更高。 关键词:高分辨磁共振成像;颈动脉;粥样硬化斑块;脑缺血 中图分类号: R 543.4 文献标志码 :A 文章编号: 2095-5227(2014)07-0654-04 ∞11: 1O.3969/j.issn.2095-5227.2014.07.∞2 网络出版时间: 2014-04-14 17:31 网络出版地址: Jkcms/detail/l1.3275.R1731.001.html Differences of carotid atherosclerotic plaques between symptomatic and asymptomatic sides in cerebral iscbemic patients detected using 3.0T bigb-resolution MR imaging HAN Xu, LIU Dan-qing, CUI Bao, MA Lu , LI Yi-xia, CAI You-quan , CAI Jian-ming Department of Radiology, Chinese PLA General Hospita1, Be旨ing 100853, China Corresponding author: CAI Jian-ming. Email: caijm301@ Abstract: Objective To investigate the differences of carotid atherosclerotic (AS) plaques between symptomatic and asymptomatic sides in cerebral ischernic patients detected using 3.0T high-resolution MR imaging. Methods One hundred and two patients with infarction or transient ischemic attack (TIA) in our hospital from June 2012 to June 2013 were recruited in our study. Each patient was received high-resolution MR examination of bilateral carotid arteries in two weeks. The differences of carotid atherosc1erotic plaques between symptomatic and asymptomatic sides were investigated. Results Of the 102 cerebral ischemic patients , 52 had infarction and 50 developed TIA. Compared with the carotid atherosclerotic plaques between symptomatic and asymptomatic sides , the luminal stenosis showed no difference (P 0.05) while the maxim