后循环脑梗死患者血管病变剖析.docVIP

后循环脑梗死患者血管病变剖析 　　[摘要] 目的 探讨后循环脑梗死患者血管病变的特点。 方法 收集2012年1月～2013年7月在中国中医科学院西苑医院神经内科住院的缺血性脑血管病患者245例。通过螺旋CT血管造影（CTA）对比87例后循环脑梗死患者及158例后循环无脑梗死患者的后循环动脉病变差异，分析后循环脑梗死患者血管病变部位、狭窄程度及形态特点。 结果 在后循环脑梗死患者中，椎动脉中、重度狭窄及闭塞的血管数多于基底动脉和大脑后动脉，差异有高度统计学意义（P 0.01）。在椎动脉硬化狭窄病变中，起始段及颅内段占82.18%。后循环脑梗死患者中、重度狭窄及闭塞的动脉数明显多于后循环无脑梗死患者，差异有高度统计学意义（P 0.01）。后循环梗死患者椎动脉发育不良率明显高于后循环无脑梗死患者，差异有高度统计学意义（P 0.01）。 结论 后循环脑梗死患者主要血管病变为动脉粥样硬化狭窄，以椎动脉起始段及颅内段最常见。椎动脉发育不良是后循环脑梗死的危险因素。 　　[关键词] 后循环缺血；脑血管病变；CT血管成像 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1673-7210（2015）10（a）-0098-05 　　Analysis of vascular lesions in patients with posterior circulation cerebral infarction 　　CAO Jianshu1 LI Jinxia1 CHU Xiuhua2 REN Hua1 LI Chunzhi1 　　1.Department of Radiology， Xiyuan Hospital of China Academy of Chinese Medical Sciences， Beijing 100091， China； 2.Department of VIP Clinic， Xiyuan Hospital of China Academy of Chinese Medical Sciences， Beijing 100091， China 　　[Abstract] Objective To explore the features of vascular lesions in patients with posterior circulation cerebral infarction. Methods The image data of 245 patients with ischemic cerebrovascular diseases admitted to Xiyuan Hospital of China Academy of Chinese Medical Sciences from January 2012 to July 2013 were retrospectively studied. The difference of posterior circulation vascular lesions between 87 patients with posterior circulation cerebral infarction and 158 patients without posterior circulation cerebral infarction detected by CT angiography was compared. The location， stenosis and morphological characteristics of the vascular lesions in patients with posterior circulation cerebral infarction were analyzed. Results The proportion of severe stenosis and occlusion of vertebral artery was higher than that of posterior cerebral artery and basilar artery in patients with posterior circulation cerebral infarction， the difference was statistically significant （P 　　[Key words] Posterior circulation ischemia； Cerebrovascular lesions； CT angiography 　　后循环缺血约占缺血性脑血管病的20%，包括