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卵圆孔未闭相关隐源性脑卒中影像学特征分析

发布时间:2018-10-29 17:59
【摘要】:目的探讨卵圆孔未闭(PFO)与隐源性脑卒中(CS)间的关联性,及伴有卵圆孔未闭的隐源性脑卒中患者头颅磁共振-弥散加权成像(MRI-DWI)的特征。方法回顾性分析西京医院神经内科139例隐源性脑卒中患者的MRI-DWI特征,具体分组为:CS-PFO(+)组(n=91,65.5%)和CSPFO(-)组(n=48,34.5%)。结果合并PFO的CS患者所占比例明显高于无PFO患者,而且弥散加权成像(DWI)显示与CS-PFO(-)组相比CS-PFO(+)组梗死灶主要累及皮层及皮质下≥15 mm的单发梗死灶,P0.05,差异有统计学意义;另外两组梗死灶在血管分布区域上均以大脑中动脉(MCA)所占比例最多,但均无统计学意义。结论卵圆孔未闭可能是隐源性脑卒中患者的一个重要致病因素,CS-PFO(+)患者梗死灶分布以累及皮层-皮质下≥15 mm为主。
[Abstract]:Objective to investigate the correlation between (PFO) and (CS) in patients with patent foramen ovale and the characteristics of cranial magnetic resonance diffusion-weighted imaging (MRI-DWI) in patients with cryptogenic stroke with patent foramen ovale. Methods the MRI-DWI features of 139 patients with cryptogenic stroke in Department of Neurology, Xijing Hospital were retrospectively analyzed. The patients were divided into CS-PFO (n = 91) group (n = 65.5%) and CSPFO (-) group (n = 48, 34.5%). Results the proportion of CS patients with PFO was significantly higher than that without PFO. Compared with CS-PFO (-) group, the infarct focus of CS-PFO (-) group was mainly involved in single infarct with cortical and subcortical 鈮,

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