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多层CT评价TIA患者颈动脉狭窄及卒中预测的意义
引用本文:王立平,赵春禹,李树艳. 多层CT评价TIA患者颈动脉狭窄及卒中预测的意义[J]. 临床放射学杂志, 2008, 27(9): 1207-1210
作者姓名:王立平  赵春禹  李树艳
作者单位:哈尔滨医科大学附属第一医院CT室,150001;中国康复研究中心北京博爱医院
基金项目:黑龙江省卫生厅科研项目
摘    要:
目的 探讨颈动脉多层CT血管成像(CTA)及脑灌注成像(CTP)评价短暂性脑缺血发作(TIA)患者颈动脉狭窄的临床意义及随访价值.资料与方法 短期内行CT平扫、颈动脉CTA的TIA患者46例,其中25例行脑CTP,评价颈内动脉狭窄的发生率、与灌注异常的相性及部分病例随访情况.选择23例符合实验组年龄段且无TIA发作史、头CT平扫无异常的志愿者作为对照组.结果 46例中,平扫未见异常17例,29例有腔隙性脑梗死,其中多发13例.CTA显示颈内动脉狭窄38支,轻度11支(28.9%),中度20支(52.6%),重度7支(18.4%).对25例行脑CTP,发现异常22例,正常3例.随访15例中11例一年中发生卒中或TIA.结论 颈动脉CTA结合脑CTP能及时判断颈内动脉病变的存在及对脑血流的影响,并预测卒中发生的危险,对TIA患者的早期临床干预有重要的指导意义.

关 键 词:颈动脉狭窄  短暂性脑缺血发作  体层摄影术  X线计算机

The Multislice CT Evaluation of Carotid Artery Stenosis in Patients with TIA
WANG Liping,ZHAO Chunyu,LI Shuyan. The Multislice CT Evaluation of Carotid Artery Stenosis in Patients with TIA[J]. Journal of Clinical Radiology, 2008, 27(9): 1207-1210
Authors:WANG Liping  ZHAO Chunyu  LI Shuyan
Affiliation:WANG Liping,ZHAO Chunyu,LI Shuyan Department of CT,The First Hospital of Harbin Medical University,Harbin,Heilongjiang Province 150001,P.R.China
Abstract:
Objective AbstractObjective To explore the clinical application and follow up value of CT angiography (CTA) and CT perfusion imaging (CTP) in carotid artery stenosis in patients with TIA.Materials and Methods 46 patients with TIA were performed with CT plain scan and CTA. Among them, there were 25 cases with CTP. The degree and location of artery stenosis, and its correlation with abnormal CTP were evaluated. 23 persons without TIA and negative result by CT plain were regarded as control group.Results Among...
Keywords:Carotid stenosis Transient ischemic attack Tomography  X-ray computed  
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