椎-基底动脉延长扩张症头颅CT血管造影特征与患者预后的相关性

发布时间：2018-03-10 01:14

本文选题：椎-基底动脉延长扩张症　切入点：CTA　出处：《广东医学》2017年02期 　论文类型：期刊论文

【摘要】：目的探究椎-基底动脉延长扩张症患者头颅CT血管造影(CTA)特征与预后的相关性。方法选择椎-基底动脉延长扩张症患者32例,收集患者病史和一般因素资料,并对入选患者进行头颅CTA检测,分析各种CTA特征表现。治疗后对患者进行至少6个月随访,统计并分析各种CTA特征表现患者的预后情况及病情转归情况。统计并分析影响患者预后不良的CTA因素,以及CTA因素与患者预后不良的相关性。结果治疗后6个月患者回访率100%。32例患者中6例患者预后不良,基底动脉分叉对鞍上池的高度、基底动脉位置偏离程度、基底动脉管径、扩张血管压迫区域和斑块性质是患者预后不良的重要影响因素。Spearman法分析发现基底动脉分叉对鞍上池的高度分级、基底动脉位置偏离程度分级、基底动脉管径、扩张血管压迫区域和斑块性质与患者预后不良存在显著线性关系(P0.05)。结论椎-基底动脉延长扩张症患者预后不良是多因素共同作用的结果,CTA检测特征对患者预后的预测具有重要价值。
[Abstract]:Objective to investigate the correlation between CTAA features and prognosis in patients with vertebrobasilar artery lengthening dilatation. Methods 32 patients with vertebrobasilar artery dilatation were selected and their history and general factors were collected. The patients were examined with CTA and all kinds of CTA features were analyzed. The patients were followed up for at least 6 months after treatment. The prognosis and prognosis of the patients with various CTA features were analyzed and the CTA factors affecting the prognosis of the patients were analyzed. Results after 6 months of treatment, 6 out of 100.32 patients had poor prognosis, the height of basilar artery bifurcation to suprasellar cistern, the deviation degree of basilar artery position, and the diameter of basilar artery. The results of Spearman method showed that the bifurcation of the basilar artery was highly graded to the suprasellar cistern, the location of the basilar artery deviated, and the diameter of the basilar artery. There was a significant linear relationship between the region of dilated vascular compression and the nature of plaque and poor prognosis (P 0.05). Conclusion the poor prognosis of patients with vertebrobasilar artery lengthening dilatation is a result of the combined effect of multiple factors on the prognosis of patients with CTA. Prediction is of great value.
【作者单位】：安徽医科大学附属六安医院神经内二科;
【分类号】：R743.3

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