ICVD患者血管内支架成形术后脑CT灌注成像结果分析

发布时间：2018-06-22 05:40

本文选题：灌注成像 + 多层螺旋计算机体层摄影术　；参考：《山东医药》2015年10期

【摘要】：目的从影像学角度评价血管内支架成形术治疗缺血性脑血管病(ICVD)的临床效果,探讨脑CT灌注成像检查的重要性及必要性。方法对19例因颅内外动脉狭窄导致的ICVD患者行颅内外血管内支架成形术,颈内动脉放置支架15枚、大脑中动脉M1段放置支架4枚。术前及术后1周内行脑CT灌注成像检查,记录相对脑血流量(r CBF)、相对脑血容量(r CBV)、相对平均通过时间(r MTT)。结果与术前比较,19例患者术后r CBF升高、r MTT降低(P0.05),r CBV差异无统计学意义。结论血管内支架成形术可明显改善ICVD的脑血流灌注,CT灌注成像检查是评价血管内支架成形术手术效果的可靠方法。
[Abstract]:Objective to evaluate the clinical effect of endovascular stent angioplasty in the treatment of ischemic cerebrovascular disease (iCVD) and to explore the importance and necessity of CT perfusion imaging. Methods Intracranial and extracranial angioplasty was performed in 19 patients with iCVD caused by stenosis of extracranial artery. 15 stents were placed in internal carotid artery and 4 stents were placed in M1 segment of middle cerebral artery. The relative cerebral blood flow (rCBF), relative cerebral blood volume (rCBV) and relative mean transit time (rMTT) were recorded before and 1 week after operation. Results there was no significant difference in rCBF between 19 patients and 19 patients (P0.05). Conclusion Endovascular stent angioplasty can significantly improve cerebral blood flow perfusion CT perfusion imaging is a reliable method to evaluate the effect of endovascular stent angioplasty.
【作者单位】：武汉市第一医院;
【分类号】：R743.3;R816.2

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