基底动脉尖综合征不同血管病变与临床预后的相关性分析-神经病学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ······················································································ （1） 英文摘要 ······················································································ （2） 论文题目 ······················································································ （4） 材料与方法 ··················································································· （5） 结果···························································································· （7） 讨论···························································································· （9） 结论···························································································（12） 附图···························································································（13） 参考文献 ·····················································································（15） 文献综述 ·····················································································（18） 参考文献 ·····················································································（26） 缩略语表 ·····················································································（31） 攻读学位期间发表文章情况······························································· （32） 个人简历 ·····················································································（33） 致谢·························································································· （34） 内蒙 内蒙古医科大学硕士研究生学位论文（2015） 1 中 文 摘 要 目的 基底动脉尖综合征(top of basilar artery syndrome，TOBS )是一种特殊类型的 椎基底动脉系统脑梗死，本病预后不良，致死率和致残率高。本研究旨在早期准确、客 观的评价TOBS患者脑血管情况，预测其预后，为指导临床采取不同治疗方法提供依据， 从而提高患者的生存率和生活质量。方法 回顾性分析2012年1月至2014年12月赤峰市 医院神经内科确诊为基底动脉尖综合征并且行头颈部CTA的31例患者。①分析TOBS患者 血管病变部位及类型；②按血管病变部位、狭窄程度、侧支循环的有无等进行分组，比 较入院神经功能缺损(NIHSS评分)和30天预后（改良Rankin量表），分析不同血管病变、 狭窄程度、侧支循环等因素与预后的关系。结果 ① CT血管造影（CTA）检查31例， 发现4例血管正常，27例存在不同程度椎基底动脉(VBA)狭窄病变， 27例患者中基底动 脉(BA)病变占7.41%、单侧椎动脉(VA)病变占14.81%、双侧椎动脉病变占51.85%、基底 动脉联合单侧椎动脉病变占7.41%、基底动脉联合双侧椎动脉病变占18.52%。②比较不 同血管病变部位与预后关系，结果显示χ2=1.22