兰州大学机构库 >学院待认领
261例缺血性脑血管病患者的全脑血管造影分析
Alternative TitleAnalysis of cerebral angiography in 261 cases of ischemic cerebrovascular disease
梅露露
Thesis Advisor刘宁
2014-05-27
Degree Grantor兰州大学
Place of Conferral兰州
Degree Name硕士
Keyword缺血性脑血管病 脑血管造影 数字剪影血管造影 狭窄 闭塞 分布特点 危险因素 侧支循环
Abstract目的:研究兰州地区的缺血性脑血管病患者脑供血动脉狭窄的严重程度以及分布的范围特点,发生缺血性脑血管病常见的危险因素及侧支循环代偿与缺血性脑血管病的相关性。 方法:对行数字剪影血管造影术(DSA)的261例缺血性脑血管病患者的造影结果进行回顾性的分析与研究。 结果:261例患者中发现脑动脉狭窄或闭塞的占70.11%,造影正常占29.89%。(1) 青年组单纯颅内狭窄者比例71.43%;老年组颅内外血管狭窄并存者比例37.18%。(2) 183例患者狭窄部位237处、闭塞88处,共325处。(3) 脑梗死患者117例。(4) 脑梗死组血管狭窄220处,轻中度狭窄占44.09%。(5) 73例重度狭窄或闭塞的患者中有61例患者出现明显的代偿。 结论:通过对于在兰州大学第一医院神经内科住院的261例缺血性脑血管病患者的造影结果进行回顾性的分析与研究后,得出这样的结论:颅内外动脉的狭窄或闭塞是脑梗死或TIA的重要发病因素。ICVD患者不同年龄段狭窄部位分布有差异,在脑动脉狭窄或闭塞患者中侧支循环代偿是否建立与患者的临床表现差异性有关。 关键词:缺血性脑血管病;脑血管造影;数字剪影血管造影;狭窄;闭塞;分布特点;危险因素;侧支循环
Other AbstractObjective: To investigate the distribution characteristics and severity of cerebral artery stenosis in patients with ischemic cerebrovascular disease (ICVD),ischemic cerebrovascular disease risk factors and common sense to open collateral circulation ischemic cerebrovascular disease. Methord: The data of cerebral angiography in 261 patients with ischemic cerebrovascular disease who performed cerebral angiography were analyzed retrospectively.They were divided into young (aged 6-44 years), middle-aged (aged 45-59 years), and elderly (aged ≧60 years) groups according to their ages. Results: 70.11% patients had cerebral artery stenosis or occlusion, and 29.89% patients had no cerebral artery stenosis. Intracranial artery stenosis was 40.98%, extracranial artery stenosis was 32.79% , and extra-and intracranial artery stenosis was 26.23%. (1)、The proportion of intracranial artery stenosis in the young group (71.43%) was significantly higher than that in the middle-aged group (33.93% ,P<0.01) and that in the elderly group (26.92%,P<0.01). The proportion of extra-and intracranial artery stenosis in the elderly group (37.18%) was significantly higher than that in the young group (16.33%,P<0.05) and that in the middle-aged group (19.64%,P<0.05). (2)、In the 261 cases , 325 lesions were found, including 237 stenoses and 88 occlusions. The proportion of occlusions in the young group (39.77%) was significantly higher than that in the middle-aged group (19.63%,P<0.01) and that in the elderly group (22.38%,P<0.01). (3)、The patients with cerebral infarction were 117, and the proportion of intracranial artery stenosis was 36.75%, while extracranial artery stenosis was 35.90% , and the extra-and intracranial artery stenosis was 27.35%. The patients with transient ischemic attack (TIA) were 66, and the proportion of intracranial artery stenosis was 48.49%, while extracranial artery stenosis was 27.27% , and the extra-and Intracranial artery stenosis was 24.24%;there are no significant difference between two groups in the distribution of vascular stenosis (P>0.05). (4)、In cerebral infarction group 220 lesions were found, and the proportion of mild-moderate stenosis was 44.09%, while severe stenosis was 26.36%, and the occlusions was 29.55%. In TIA group 105 lesions were found, and the proportion of mild-moderate stenosis was 66.67%, while severe stenosis was 11.43%, and the occlusions was 21.90% . The difference of sevetity of artery stenosis between TIA grou...
URL查看原文
Language中文
Document Type学位论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/224288
Collection学院待认领
Affiliation临床医学院
Recommended Citation
GB/T 7714
梅露露. 261例缺血性脑血管病患者的全脑血管造影分析[D]. 兰州. 兰州大学,2014.
Files in This Item:
There are no files associated with this item.
Related Services
Recommend this item
Bookmark
Usage statistics
Export to Endnote
Altmetrics Score
Google Scholar
Similar articles in Google Scholar
[梅露露]'s Articles
Baidu academic
Similar articles in Baidu academic
[梅露露]'s Articles
Bing Scholar
Similar articles in Bing Scholar
[梅露露]'s Articles
Terms of Use
No data!
Social Bookmark/Share
No comment.
Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.