| 脑梗死前期CT筛查的应用研究 |
| Alternative Title | Application of CT screening in Pre-infarction period
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| 孙秋 |
| Thesis Advisor | 周俊林
|
| 2012-05-20
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | CT
CTPI
CTA
脑梗死前期
筛查
|
| Abstract | 目的：通过对临床诊断为缺血性脑卒中患者行一站式CT筛查，以期发现处于脑梗死前期患者并进行评价。
材料与方法：收集自2010年9月-2012年3月临床诊断为脑血管疾病患者，所有病例均行头颈部CT平扫、CTPI及CTA筛查。
结果：
1. 175例行CT平扫，符合CTPI标准128例。
2. CTPI未见明显异常30例，异常98例，分为TIA组53例和急性脑梗死组45例。
3.TIA组颈内动脉出现狭窄74支，32支无狭窄。颅内动脉32例发现有不同程度的狭窄。急性脑梗死组颈内动脉出现狭窄64支，8支无狭窄。颅内动脉28例出现不同程度的狭窄。
4.颈内动脉狭窄程度与CBV和CBF均无相关性。
5. TIA组中钙化斑块35例，脂质斑块7例，混合斑块4例，急性脑梗死组，钙化斑块17例，脂质斑块19例，混合斑块8例。
结论：
1、单纯CT平扫对脑梗死前期患者检出率较低。
2、CTPI多参数成像对脑梗塞前期可较好的评价脑组织血流状态。
3、CTA对临床疑有头颈部血管狭窄可很好显示狭窄部位、范围、程度，排除其他血管性病变。
4、不稳定斑块是引起TIA及急性脑梗死的危险因素之一。
5、一站式CT筛查对脑梗死前期患者，应制定个性化筛查方案。 |
| Other Abstract | Objective: Through one-stop CT screening, on the patients diagnosed with the ischemic stroke, find out the patients in the early phase of the cerebral infarction and separately do the assessment .
Results:
1. 175 regular CT flat for Saul, CTPI standard 128 cases.
2. CTPI has not seen the obvious abnormity 30 cases, abnormal in 98 cases.
3.TIA narrow internal carotid artery 74 of teams, and 32 r no narrow. 32 cases of intracranial arteries that have different degrees of narrow.
Acute cerebral infarction internal carotid artery is narrow 64 teams, and 8 no narrow. 28 cases of intracranial arteries are in different degree of narrow.
4.The internal carotid artery narrow degree and CBV or CBF are unrelated. |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/222961
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
孙秋. 脑梗死前期CT筛查的应用研究[D]. 兰州. 兰州大学,2012.
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