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目的:探讨CTA检测脑梗死伴颈动脉狭窄患者脑血流动力学改变价值。方法:选择我院收治颈动脉狭窄的脑梗死患者200例作为研究对象,同期另选择120例正常人作为对照组,给予两者行CTA、CTP检查,比较不同狭窄程度患者和对照组的脑血流动力学的变化情况。结果:轻度狭窄、中度狭窄、重度狭窄及闭塞患者的脑血流动力学相关指标的变化和对照组相比较差别显著(P<0.05)。结论:CTA联合CTP成像可以综合评估脑梗死伴颈动脉狭窄患者脑血流动力学的变化情况,能帮助临床制定有效的治疗方案。
Abstract:Objective: To investigate the value of CTA in detecting cerebral hemodynamic changes in patients with cerebral infarction complicated with carotid stenosis. Methods: Our hospital of carotid artery stenosis in patients with cerebral infarction and 200 cases as the research object, at the same time the other 120 normal persons as control group, both CTA and CTP to check the changes of cerebral blood flow dynamics in different degree of stenosis in selected patients and controls. Results:Mild stenosis, moderate stenosis, severe stenosis and changes in control group and cerebral hemodynamics in patients with occlusion of relevant indicators compared to the difference was significant(P<0.05). Conclusion: CTA combined with CTP imaging can evaluate cerebral hemodynamic changes in patients with cerebral infarction and carotid stenosis, and can help to establish effective treatment plan.
[1]相波.CTA对脑梗死伴颈动脉狭窄患者脑血流动力学改变评估作用[J].中国CT和MRI杂志,2017,15(1):26-29.
[2]初继栋.头颈部CTA和颈部血管彩超在脑梗死患者颈动脉狭窄检测中的应用[J].山东医药,2013,51(15):66-67.
[3]张丽红,赵艳玲.CTP联合4D-CTA对前循环血管狭窄慢性脑缺血血流动力学评价[J].医学影像学杂志,2015,25(7):1138-1141.
[4]赵武华.应用多层螺旋CT评价脑缺血症状与颈动脉狭窄关系的研究[J].医学影像学杂志,2012,22(5):699-702.
基本信息:
中图分类号:R743.3;R816.1
引用信息:
[1]秦芬.CTA检测脑梗死伴颈动脉狭窄患者脑血流动力学改变价值分析[J].影像技术,2018,30(03):11-13.
2018-05-23
2018-05-23