64排螺旋ct脑ctp与头颈cta联合应用诊断急性缺血性脑血管病的临床分析 word格式.docxVIP

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64排螺旋ct脑ctp与头颈cta联合应用诊断急性缺血性脑血管病的临床分析 word格式.docx

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64排螺旋ct脑ctp与头颈cta联合应用诊断急性缺血性脑血管病的临床分析 word格式

are 93.9% and 84.6%. 3. In 33 cases with CTP abnormal patients, the CBF, CBV and MTT of ischemia side were (26.8±9.40)ml.100g-1.min-1, (2.37±1.03)ml.100g-1, (11.16±3.07)s, and that of the contralateral side were (48.51±16.08)ml.100g-1.min-1, (4.37±1.04) ml.100g-1, (6.70±1.79)s, they were significantly different. 4. In 33 cases with CTP abnormal patients, 25 cases have artery stenosis or occlusion (67 stenoses or occlusion), 39 were at intracranial arteries, 28 were atextracranial arteries. 29 cases were showed plaque (98 plaques), of which，42 were soft plaques,29 were calcified plaques, 27 were mixed plaques. Of 98 plaques, 34 were located at intracranial artery (9 were soft plaques, 15 were calcified plaques, 10 were mixed plaques), 64 were locatedat extracranial artery (33 were soft plaques, 14 were calcified plaques, 17 were mixed plaques)；In 13 cases with CTP normal patients, 5 cases have artery stenosis or occlusion (13 stenoses or occlusion), 3 were at intracranial arteries, 10 were at extracranial arteries. 6 cases were showed plaque (28 plaques), of which ， 4 were soft plaques, 17 were calcified plaques, 7 were mixedplaques. 5. The correlation between degree of cerebral feeding artery stenosis and hemodynamic change showed that only the values of MTT and degree of artery stenosis had correlation (r=0.433), while the values of CBF, CBV had no significant correlation .Conclusion: 1. CTP can make definitive diagnosis of AICVD before morphological changes. MTT is the most sensitive indicator. 2. The perfusion parameters exist difference between ischemia side and contralateral side. The valus of CBF, CBV were lower than contralateral side, while the values of MTT were prolonged. 3. Stenosis or occlusion and plaque formation of cerebral feeding artery were primary reasons for AICVD. The stenosis in intracranial arteriy was more often than in extracranial artery. Although the types of the plaque were mainly soft plaques as a whole, calcified plaques were dominated