椎基底动脉扩张延长症临床及影像学特征分析.docVIP

椎基底动脉扩张延长症临床及影像学特征分析 　　[摘要] 目的 分析椎基底动脉扩张延长症的临床及影像学特征。 方法 选择2015年1月～2017年1月我院住院治疗的VBD患者45例进行观察，另选择同期住院治疗的非VBD患者45例作为对照组，观察和比较两组病例的性别、年龄、吸烟史、饮酒史、既往合并内科疾病（如高血压、冠心病、糖尿病、高脂血症、脑卒中）、临床表现、影像学检查情况。 结果 45例VBD患者中仅行MR 检查12 例，包括循环新鲜梗死灶6例，脑干压迫4例，脑出血1例，脑积水1例。仅行MRA检查8 例，MRA显示可见迂曲、延长、扩张的椎基底动脉及基底动脉移位、压迫脑干等。两者均进行检查共25例。观察组VBD患者在性别、平均年龄、吸烟/饮酒史、合并内科疾病及主要临床表现方面比较，差异无显著性（P0.05）。 结论 椎基底动脉扩张延?L症的临床表现复杂多样、无特异性，VBD的诊断主要依靠影像学检查，但不同检查方法表现不同。 　　[关键词] 椎基底动脉扩张延长症；临床表现；影像学检查； 分型 　　[中图分类号] R543.5 [文献标识码] B [文章编号] 1673-9701（2018）12-0080-03 　　Analysis on the characteristics of clinical and imaging features of vertebrobasilar dolichoectasia 　　DU Fei LIN Na JIAO Yang ZHAO Weina YIN Changhao 　　Hongqi Hospital， Mudanjiang Medical University， Mudanjiang 157011， China 　　[Abstract] Objective To analyze the clinical and imaging features of vertebrobasilar dolichoectasia. Methods 45 cases of VBD patients who were hospitalized in our hospital from January 2015 to January 2017 were selected for observation. Another 45 cases of non-VBD patients who were hospitalized in the same period were selected as the control group. The gender， age， smoking history， drinking history， previous history of complicated medical diseases （such as hypertension， coronary heart disease， diabetes， hyperlipidemia， stroke）， clinical manifestations and imaging studies were observed and compared in the two groups. Results Of the 45 patients with VBD， only 12 patients were given MR examination， including 6 cases of recurrent fresh infarction foci， 4 cases of brainstem compression， 1 case of cerebral hemorrhage and 1 case of hydrocephalus. Only MRA examination was carried out in 8 cases， and MRA showed tortuous， prolonged， dilated vertebrobasilar artery and basilar artery displacement， compression of brain stem， etc. Both were examined in 25 cases. In the observation group， the gender， average age， smoking/drinking history， complicated medical diseases and main clinical manifestations were not significantly different in patients with