椎动脉优势与后循环梗死发生及梗死侧的关系研究

发布时间：2018-06-20 01:28

本文选题：椎动脉优势 + 后循环梗死　；参考：《中国全科医学》2017年S1期

【摘要】：目的探讨椎动脉优势与后循环梗死发生率以及梗死侧的关系,为后循环梗死的诊治提供理论基础。方法选取2014年10月—2016年10月在南阳医专第一附属医院治疗的100例脑血管疾病患者,将存在椎动脉优势的50例患者设为观察组,不存在椎动脉优势的50例患者设为对照组。比较两组患者后循环梗死、小脑上动脉(SCA)区(小脑半球上部)、大脑后动脉(PCA)区、小脑后下动脉(PICA)区、基底动脉(BA)区梗死发生率,同时记录观察组SCA区、PCA区、PICA区、BA区梗死侧与椎动脉优势的相对关系,并比较两组患者BA弯曲发生率。结果两组SCA区、PCA区梗死发生率比较,差异均无统计学意义(P0.05);观察组PICA区、BA区及后循环梗死发生率比较,差异均有统计学意义(P0.05)。3例SCA区梗死患者梗死侧位于椎动脉优势侧相对侧;4例PCA区梗死患者3例梗死侧位于椎动脉优势侧相对侧,1例位于同侧;6例PICA区梗死患者梗死侧位于椎动脉优势侧相对侧;11例BA区梗死患者6例梗死侧位于椎动脉优势侧相对侧,5例位于同侧。观察组BA弯曲发生率[52.00%(26/50)]高于对照组[10.00%(5/50)],差异有统计学意义(P0.05)。结论存在椎动脉优势的脑血管疾病患者后循环梗死发生率更高,同时PICA、BA区为梗死高发区,椎动脉优势侧对侧梗死发生率明显高出同侧,且存在椎动脉优势BA弯曲发生率更高。
[Abstract]:Objective to investigate the relationship between vertebral artery dominance and the incidence and side of posterior circulation infarction, and to provide a theoretical basis for the diagnosis and treatment of posterior circulation infarction. Methods from October 2014 to October 2016, 100 patients with cerebrovascular diseases were treated in the first affiliated Hospital of Nanyang Medical College. 50 patients with vertebral artery dominance were selected as observation group and 50 patients without vertebral artery dominance as control group. The incidence of infarction in posterior circulation, superior cerebellar artery (SCA) area (superior cerebellar hemisphere, posterior cerebral artery (PCAA), posterior inferior cerebellar artery (PICA), basilar artery (BAA) was compared between the two groups. At the same time, the relative relationship between the infarct side and the predominance of vertebral artery was recorded in the observation group, and the incidence of BA curvature was compared between the two groups. Results there was no significant difference between the two groups in the incidence of infarction in PCA area of SCA region, and the incidence of infarction in BA area and posterior circulation of PICA area in the observation group, there was no significant difference in the incidence of infarction between the two groups. The difference was statistically significant in 4 patients with PCA infarction, 4 patients with PCA infarction, 3 patients with infarction side located in the dominant side of vertebral artery, 1 patient with infarction in the same side and 6 patients with infarction in PICA area. The dead side was located at the relative side of the vertebral artery in 11 patients with infarction in BA area. 6 patients were located in the dominant side of the vertebral artery and 5 patients were located in the ipsilateral side of the dominant side of the vertebral artery. The incidence of BA bending in the observation group [52.00 / 26 / 50] was higher than that in the control group [10.00 / 50], and the difference was statistically significant (P 0.05). Conclusion the incidence of posterior circulation infarction is higher in patients with cerebrovascular diseases with superior vertebral artery, and the incidence of infarction is higher in PICABA area. The incidence of contralateral infarction in the dominant side of vertebral artery is significantly higher than that in the ipsilateral side, and the incidence of superior BA curvature of vertebral artery is higher than that of ipsilateral artery.
【作者单位】：南阳医专第一附属医院;
【分类号】：R743.3

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