Wallenberg综合征病变血管与梗死部位的相关性

发布时间：2018-03-28 23:27

本文选题：Wallenberg综合征　切入点：延髓梗死　出处：《中国老年学杂志》2017年18期

【摘要】：目的探讨Wallenberg综合征病变血管与梗死部位的相关性。方法回顾性分析26例Wallenberg综合征患者影像资料。根据影像学方法,将Wallenberg综合征病变血管分为椎动脉病变及小脑后下动脉病变。根据磁共振,将延髓背外侧纵向分为上、中及下三部,横向分为A、B、C、D及E五个部位,分析病变血管与梗死部位的关系。结果 26例患者中,椎动脉病变14例,小脑后下动脉病变12例;椎动脉病变中动脉夹层3例,动脉瘤1例。Wallenberg综合征梗死病灶纵向分布最常见部位是延髓中部(84.62%),其次是延髓下部(34.62%),最后是延髓上部(23.08%);在延髓梗死灶的横向分布方面,Wallenberg综合征梗死灶最常见的部位是延髓背外侧的A部(84.16%),其他依次为B部(80.77%)、C部(46.15%)、E部(34.62%)及D部(26.92%)。椎动脉病变组与小脑后下动脉病变组比较,两组患者在出现延髓中段梗死(P=0.033)及延髓A部(P=0.003)和B部(P=0.012)梗死方面有统计学差异。结论椎动脉病变也是导致Wallenberg综合征的重要原因,动脉夹层是常见的血管病变;椎动脉病变导致的Wallenberg综合征梗死病灶更加容易累及延髓中段,延髓背外侧的A及B部位。
[Abstract]:Objective to investigate the correlation between the pathological vessels of Wallenberg syndrome and the infarct location. Methods the imaging data of 26 patients with Wallenberg syndrome were retrospectively analyzed. The pathological vessels of Wallenberg syndrome were divided into vertebral artery lesion and posterior inferior cerebellar artery lesion. According to magnetic resonance imaging, the dorsolateral medulla was divided into three parts: upper, middle and lower. Results among 26 patients, 14 cases had vertebral artery lesion, 12 cases had posterior inferior cerebellar artery disease, 3 cases had dissection of middle artery of vertebral artery. Aneurysm. The most common location of infarct lesions in Wallenberg syndrome is 84.62% in the middle of medulla oblongata, 34.62% in the lower part of medulla oblongata, 23.08% in the upper part of medulla oblongata, and the most common location in the transverse distribution of infarct foci in Wallenberg syndrome is the inferior medulla oblongata, the inferior part of medulla oblongata, and the superior part of medulla oblongata. It was part A of dorsolateral medulla oblongata 84.16, the other being part B 80.77 and part C 46.15 and part E 34.622.The vertebral artery lesion group was compared with the posterior inferior cerebellar artery disease group. There were significant differences between the two groups in the occurrence of infarction in the middle segment of medulla oblongata (P0. 033), the infarction in part A (P 0. 003) and the infarction in part B (P 0. 012). Conclusion vertebral artery disease is also an important cause of Wallenberg syndrome, and dissection of artery is a common vascular disease. The infarct focus of Wallenberg syndrome caused by vertebral artery disease is more likely to involve the middle part of medulla oblongata and A and B parts of dorsolateral medulla oblongata.
【作者单位】：柳州市人民医院;广西医科大学第一附属医院;
【分类号】：R743.3

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