探讨脑干梗死与椎-基底动脉形态的关系

发布时间：2019-03-07 23:33

【摘要】：目的:运用CTA及MRI扫描探讨脑干梗死患者椎-基底动脉的形态学特点,并做相关统计学分析。方法:收集我院460例患者的影像资料进行分析,将病例分为脑干梗死组和非脑干梗死组。(1)分别观察两组患者椎动脉迂曲、椎动脉优势、椎动脉起源变异及走行变异情况;(2)分别观察两组患者基底动脉迂曲情况。对以上数据做统计学分析,P0.05为差异有统计学意义。结果 :(1)脑干梗死组和非脑干梗死组椎动脉迂曲的发生率分别为0.883、0.494,P0.05,二者比较差异有统计学意义;脑干梗死组与非脑干梗死组椎动脉优势的发生率分别为0.708、0.262,二者比较差异有统计学意义(P0.05)。(2)脑干梗死组与非脑干梗死组在椎动脉走行变异、起源变异、基底动脉迂曲发生率上无明显统计学差异(P0.05)。结论:脑干梗死与椎动脉迂曲、椎动脉优势分布有关系,与椎动脉起源变异与走行变异及基底动脉迂曲关系不密切。
[Abstract]:Aim: to investigate the morphological features of vertebrobasilar artery in patients with brainstem infarction by CTA and MRI, and to make statistical analysis. Methods: the imaging data of 460 patients in our hospital were analyzed and divided into two groups: brainstem infarction group and non-brainstem infarction group. (1) the tortuosity of vertebral artery, the superiority of vertebral artery, the variation of origin and course of vertebral artery in the two groups were observed. (2) observe the basilar artery tortuosity in two groups. The above data for statistical analysis, P0.05 for the difference has statistical significance. Results: (1) the incidence of vertebral artery tortuosity in brainstem infarction group and non-brainstem infarction group was 0.883,0.494 and P0.05, respectively, and there was significant difference between the two groups. The incidences of vertebral artery dominance in brainstem infarction group and non-brainstem infarction group were 0.708 and 0.262, respectively. There was significant difference between brainstem infarction group and non-brainstem infarction group (P0.05). (2) in the course variation and origin variation of vertebral artery between brainstem infarction group and non-brainstem infarction group. There was no significant difference in the incidence of basilar artery tortuosity (P0.05). Conclusion: brainstem infarction is related to vertebral artery tortuosity and vertebral artery dominance distribution, but not to the origin and course variation of vertebral artery and basilar artery tortuosity.
【作者单位】：邢台市第三医院CT/核磁室;邢台市人民医院超声科;佳木斯大学附属第一医院CT室;
【基金】：佳木斯大学科学技术研究项目,编号:S2014-030
【分类号】：R743.33

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