大脑中动脉闭塞后大脑后动脉侧支供血的MRA研究.pdfVIP

622 放射学实践 2008 年 6 月第 23 卷第 6 期 Radiol Practice ,Jun 2008 , Vol 23 , No. 6 ·血管影像学· 大脑中动脉闭塞后大脑后动脉侧支供血的 MRA 研究 袁东升，孙培芳，梁长虹，黄庵，刘红军 E摘要】 目的:研究大脑中动脉闭塞后侧支供血的 3DMRA 表现。方法:回顾性分析大脑中动脉供血区脑梗死患者 75 例，均行 MRI 和 3D TOF MRA，着重观察 MRA 中的例支代偿供血情况。结果:75 例患者 3D TOF MRA 均发现大脑 中动脉起始段(M1) 闭塞，同侧的大脑后动脉颜下后支及Jlé状裂和顶枕动脉段出现增粗、延长、分支增多的表现，而多数患 者同侧的大脑前动脉走行方向、管径粗细、分支情况则无明显变化。结论:大脑中动脉 M1 段闭塞后，MRA 示同例大脑后 动脉主千及分支有显著改变，说明闭塞区的代偿血供是以大脑后动脉通过柔脑膜毛细血管网的侧支循坏为主。 E关键词】 大脑中动脉;磁共振成像;颅内栓塞 E 中图分类号1 R445.2; R543 [文献标识码1 A [文章编号】 1 000-0313( 2008) 06-0622-03 Evaluation of Collateral Flow from Posterior Cerebral Artery after Middle Cerebral Artery Occlusion with MR Angiography YUAN Dong-sheng , SUN Peí-fang , LIANG Chang-hong , et a l. Department of Radiology , Shenzhen Xili Hospital , Shenzhen 518055 ,P. R. China [Abstractl Objective: To evaluate the 3D MRA manifestation of collateral vessels after middle cerebral artery occlu sion. Methods: The MR angiographic findings were retrospectively analyzed in 75 patients with middle cerebral artery terr卜 tory infarct , and collateral flow was evaluated. Results:M1-segment middle cerebral artery occlusion was found in all the 75 patients at 3 D-TOF MR angiography ,and thicking , prolongation and increasing branches of poterioinferìoer branch and P4 segment of ipsilateral posterior cerebral artery were found , but the ipsilateral anterior cerebral artery had no significant change. Conclusion: Obvious changes of ipsilateral poterior cerebral artery can be found on MRA after Ml-segment middle cerebral artery occlusion ,suggesting the compensating bloo