ESSEN卒中风险评分低危和高危脑梗死患者应用#br# 3D-TOF-MRA的颅内血管特点分析

doi:10.12117/jccmi.2018.07.002

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摘要目的：通过回顾性分析脑梗死患者颅内血管情况，探讨ESSEN卒中风险评分量表（ESRS）与颅内血管狭窄、颅内血管分支密度和梗死面积相关性。方法：本研究回顾性分析2016年7月—2017年6月入住我院脑病科的行3D-TOF-MRA检查并经过头颅MRI证实有梗死灶的患者104例。进行一般资料的登记、评定ESRS，梗死灶大小测量，分析患者颅内血管特点包括颅内血管狭窄的根数和颅内血管分支密度。根据ESRS值分为低危组和高危组，应用卡方检验比较两组的血管狭窄率、血管分支密度、梗死灶大小，应用Spearman相关性分析分析ESRS与颅内血管狭窄处、血管分支密度和梗死灶大小的相关性。结果：ESRS低危组较高危组患者颅内血管狭窄发生率低、血管分支密度高。ESRS与颅内血管狭窄数呈中等正相关，与血管密度呈中等负相关，与梗死面积呈弱正相关。结论：ESRS与颅内血管病变相关度高，高危患者颅内血管狭窄率高。应积极检查颅内外血管，针对血管情况控制基础病、积极药物预防、必要时血管内治疗，减少卒中的复发。

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	王琳
	沈广澍

关键词 ：脑梗塞, 中风, 磁共振血管造影术

Abstract：Objective: To discuss the correlations between the ESSEN stroke risk score(ESRS) and intracranial vascular stenosis, vascular branch density and the infarct size respectively by the retrospective analysis of intracranial vascular characteristics in the cerebral infarction patients. Methods: 104 cerebral infarction patients confirmed by head MRI examinations and 3D-TOF-MRA in our department from July 2016 to June 2017 were investigated retrospectively. General information of patients were registered, the ESRS score and the infarct size were measured, and the features including the number of intracranial vessels with stenosis and the vascular branch density were analyzed. Patients were divided into low risk group and high risk group according to the ESRS. The differences of vascular characteristics including the vascular stenosis rate, the vascular branch density and the infarct size between two groups were compared by Chi-square analysis. The correlations between the ESRS and the intracranial vascular stenosis, vascular branch density and the infarct size were analyzed by the Spearman rank correlation. Results: The low risk group showed lower rate of intracranial vascular stenosis and higher vascular branch density than the high risk group. The ESRS was moderately positively correlated with the intracranial vascular stenosis, moderately negatively correlated with the vascular branch density and weakly positively correlated with the infarct size. Conclusion: The ESRS shows high correlation with intracranial vascular lesions, and high risk patients have more possibility of intracranial vascular stenosis.

Key words： Brain infarction Stroke Magnetic resonance angiography

收稿日期: 2017-09-12

PACS:	Ｒ743.3
	Ｒ445.2
	R814.43

通讯作者: 王琳，南京市中医院脑病科，210001。E-mail：nju_medicine@sina.com

作者简介: 王琳（1983-），女，江苏灌云人，副主任医师。E-mail：nju_medicine@sina.com

引用本文:

王琳，沈广澍. ESSEN卒中风险评分低危和高危脑梗死患者应用#br# 3D-TOF-MRA的颅内血管特点分析[J]. 中国临床医学影像杂志, 2018, 29(7): 461-463.
WANG Lin, SHEN Guang-shu. Analysis of intracranial vascular characteristics of cerebral infarction patients with low and#br# high risk according to the ESSEN stroke risk score by 3D-TOF-MRA. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(7): 461-463.

链接本文:

http://www.jccmi.com.cn/CN/10.12117/jccmi.2018.07.002 或 http://www.jccmi.com.cn/CN/Y2018/V29/I7/461

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