急性脑梗死OCSP分型与大脑中动脉病变的相关性研究

被引:1
作者
张华军
朱武生
徐格林
刘新峰
机构
[1] 南京大学医学院临床学院神经内科
关键词
大脑中动脉; 数字减影血管造影术; 脑梗死;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
目的评价数字减影血管造影术对急性大脑中动脉(MCA)区域脑梗死MCA病变诊断价值。方法选择南京大学医学院临床学院神经内科2002年5月至2005年12月收治的脑梗死患者,结合牛津郡社区卒中项目(OCSP)分型进行相关性研究,154例入组患者被分为完全前循环梗死(TACI)、部分前循环梗死(PACI)和腔隙性梗死(LACI)。结果TACI组出现MCA主干闭塞的比例高于LACI组(P<0·01),LACI组MCA正常的发生率高于TACI组(P<0·01)。结论在MCA区域脑梗死的患者中,TACI组可预测MCA主干闭塞,LACI可预测MCA正常。
引用
收藏
页码:1958 / 1960
页数:3
相关论文
共 12 条
[1]  
Classification and natural history of clinically identifiable subtypes of cerebral infarc-tion. Bamford J,,Sandercock P,Dennis MS,et al. The Lancet . 1991
[2]   缺血性脑卒中的颅内动脉微栓子监测 [J].
孙蜀宁 ;
郝久宽 .
中国实用内科杂志, 2003, (07) :437-438
[3]   糖尿病性脑卒中88例临床分析 [J].
林海 ;
付丽佳 ;
卢立春 ;
段立敏 ;
郑著家 .
中国实用内科杂志, 2002, (04) :242-243
[4]  
Microembolic signals and grade carotid stenosis. Mayor I,Comelli M,Vassileva E,et al. Acta Neurologica Scandinavica . 2003
[5]  
North American Symptomatic Carotid Endarterectomy Trial.Methods,patient characteristics,and progress. North American Symptomatic Carotid Endarterectomy Trial(NASCET)Steering Committee. Stroke . 1991
[6]  
Patterns of perfu-sion-weighted imaging in patients with carotid artery occlusive disease. Chaves CJ,Staroselskaya I,Linfante I,et al. Archives of Neurology . 2003
[7]  
Relationship be-tween pattern of intracranial artery abnormalities on transcranial Doppler and Oxfordshire Community Stroke Project clinical classi-fication of ischemic stroke. Mead GE,Wardlaw JM,Dennis MS,et al. Stroke . 2000
[8]  
Use of transcranial Doppler ultrasound to predict outcome in patients with intracranial large ar-tery occlusive disease. Wong KS,Li H,Chan YL,et al. Stroke . 2000
[9]  
Relationship between the Oxfordshire Community Stroke Project classification and vascular abnormalities in patients with predominantly intracranial atherosclerosis. Li H,,Wong KS,Kay R. Journal of the Neurological Sciences . 2003
[10]  
Com-bined carotid and transcranial ultrasound findings compared with clinical classification and stroke severity in acute ischemic stroke. Thomassen L,Waje-Andreassen U,Naess H,et al. Cerebrovascular Diseases . 2006