颈内动脉系统动脉粥样硬化病变的dsa形态学特征 作者：刘亚杰1 .docVIP

颈内动脉系统动脉粥样硬化病变的DSA形态学特征 作者：刘亚杰1；李铁林2；刘振华1；赵联旭1；黎洪展1　　(南方医科大学珠江医院1神经内科，2神经外科，广东 广州 510282) 摘要：目的??探讨颈内动脉系统动脉硬化病变的形态学特征。方法??回顾分析120例动脉硬化患者颈内动脉系统动脉硬化病变，分析各病变的脑血管造影(DSA)的形态学特征。结果??120例病人共217个动脉硬化病变，其中重度狭窄占62.21%，轻度狭窄占37.79%；长病变占18.89%，短病变占81.11%；溃疡病变占37.33%，非溃疡病变占62.67%；成角病变占13.36%，非成角病变占86.64%；偏心性病变占50.23%，向心性病变占49.77%；狭窄两端扩张病变占9.22%，无狭窄两端扩张病变占90.78%。结论??本组颈内动脉系统脑动脉硬化病变形态学特征中，中重度狭窄、短病变、非溃疡病变、非成角病变、偏心性病变以及无狭窄两端扩张病变为其主要表现。 关键词：颈内动脉疾病；动脉粥样硬化；数字减影血管造影 中图分类号：R543.4;R743.1??文献标识码：A??文章编号：1673-4254(2006)06-0767-03 Morphological characteristics of internal carotid artery atherosclerotic lesions in digital subtracted angiographyLIU Ya-jie1；LI Tie-lin2；LIU Zhen-hua1；ZHAO Lian-xu1；LI Hong-zhan11Department of Neurology, 2Department of Neruosugery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, ChinaAbstract: Objective To illustrate the morphological characteristics of atherosclerotic lesions of the internal carotid artery. Methods The morphological characteristics of cervicocerebral atherosclerotic lesions in digital subtracted angiography were retrospectively reviewed in 120 cases. Results Totally 217 atherosclerotic lesions were detected. Of all the lesions, moderately and severely stenosed lesions accounted for 62.21% (135/217) and mild stenosed lesions for 37.79% (82/217); long lesions were found in 18.89% (41/217) and short ones in 81.11% (176/217); 37.33% (81/217) of the lesions were ulcerated while 62.67% (136/217) were non-ulcerated; 13.36% (29/217) were angulated lesions and 86.64% (188/217) non-angulated; 50.23% (109/217) were eccentric lesions and 49.77% (108/217) were concentric; lesions with adjacent artery dilation were found in 9.22% (20/217), and lesions without with adjacent artery dilation in 90.78% (197/217). Conclusion The atherosclerotic lesions are characterized by moderate to severe stenosis and non-ulcerated, non-angulated, eccentric lesions without adjacent artery dilation.Key words: cervicocerebral diseases; atherosclerosis; d