颅外颈部动脉狭窄发生率的磁共振血管成像评价
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Prevalence Study of Extracranial Carotid Artery Stenosis with Magnetic Resonance Angiography
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    摘要:

    目的探讨磁共振血管成像对105例椎基底动脉供血不足和/或短暂性脑缺血发作患者的颅外颈部动脉狭窄发生率的评价。方法收集椎基底动脉供血不足和/或短暂性脑缺血发作患者105例,按年龄段分为青中年组、中老年组和老年组,同时设无明显临床症状者为对照组。所有病例均接受颅外颈部磁共振时间飞跃法血管成像和增强磁共振血管成像检查,分析比较其血管狭窄情况。结果105例有临床症状者(127个部位)颅外颈部动脉各部位狭窄发生率为椎动脉起始端狭窄31.49%、椎动脉远端颅内段狭窄18.11%、一侧椎动脉发育不良和全程细窄18.11%、椎动脉迂曲走行伴有椎动脉局限性硬化狭窄16.53%、颈内动脉硬化狭窄12.60%、颈总动脉硬化狭窄3.15%,同时合并2个以上部位狭窄者17例(39个部位)。按不同年龄分组,各部位狭窄发生率按上述顺序分别为:青中年组30.77%、25.64%、28.21%、7.69%、7.69%和0%;中老年组36.59%、19.51%、14.63%、17.07%、9.76%和2.44%;老年组27.66%、10.64%、12.76%、23.40%、19.15%和6.38%。结论颅外颈部动脉病变中椎动脉起始端狭窄发生率明显高于其它部位;随年龄增长,椎动脉及颈动脉硬化狭窄发生率增加;磁共振血管造影对颅外颈部动脉狭窄发生率的研究有重要价值。

    Abstract:

    Aim To study the prevalence of extracranial carotid artery stenosis with magnetic resonance angiography(MRA) in 105 patients of vertebrobasilar artery ischemic and/or transient ischemic attack.Methods105 patients according to ages were divided into 30~55 years group,56~70 years group and 71~89 years group.Thirty-five asymptomatic patients were regarded as control subjects.All patients were undergone with time of flight of MRA(TOF-MRA) and contrast enhanced MRA(CE-MRA).ResultsTOF-MRA and CE-MRA showed that the most common stenosis location in order was in proximal vertebral artery,the intercranial branch of vertebral artery,whole vertebral artery,vertebral artery tortuous or sclerosis,intercratoid artery and common cratoid artery.And the prevalence of extracranial carotid artery stenosis in order as aboved was 30.77%,25.64%,28.21%,7.69%,7.69%,0% in 30~55 years group;36.59%,19.51%,14.63%,17.07%,9.76%,2.44% in 56~70 years group;27.66%,10.64%,12.76%,23.40%,19.15%,6.38% in 71~89 years group,respectively.ConclusionsThe prevalence of stenosis in proximal vertebral artery of extracranial carotid artery was higher than that of other location.The prevalence of atherosclerosis in vertebral artery and carotid artery increased with the ages.MRA is a useful and valuable tool to show extracarnial carotid artery stenosis.

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崔凤,袁杭,乐先杰,瞿华,郝亮.颅外颈部动脉狭窄发生率的磁共振血管成像评价[J].中国动脉硬化杂志,2006,14(12):1061~1064.

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  • 收稿日期:2006-05-08
  • 最后修改日期:2006-11-30
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