ASPECT评分的临床应用进展 |
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引用本文: | 金灿,王苇. ASPECT评分的临床应用进展[J]. 国际医学放射学杂志, 2015, 38(5): 418-422. DOI: 10.3874/j.issn.1674-1897.2015.05.Z0501 |
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作者姓名: | 金灿 王苇 |
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作者单位: | 扬州大学第二临床医学院 扬州市第一人民医院影像科 |
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摘 要: | Alberta卒中项目早期CT评分(ASPECTS)是一种评价急性缺血性卒中病人大脑中动脉供血区早期缺血性改变的简单、可靠、系统化方法,有助于预测溶栓效果和远期预后。CTA及多模态CT/MRI和后循环ASPECTS评分拓展了ASPECTS的应用范围,提高了病情判断的可靠性和有效性。对ASPECTS的方法、可靠性、不同模式及其在急性脑卒中的诊断、治疗及预后中的应用进行综述。
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关 键 词: | 卒中 脑缺血 体层摄影 X线计算机 血栓溶解 |
Progress of ASPECT score system in clinical application |
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Abstract: | The Alberta Stroke Program Early CT Score(ASPECTS) is a simple, reliable and systematic approach for evaluating early ischemic changes in the middle cerebral artery territory in patients with ischemic stroke. ASPECTS is helpful in predicting thrombolytic effect and long-term prognosis. The developments of CTA, multimodal CT and MRI techniques and the posterior circulation ASPECTS have enriched the application scope of ASPECTS and have improved the reliability of disease judgment. In this article we reviewed the ASPECTS, its reliability, different models and applications in diagnosis, therapy and prognosis of acute stroke. |
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Keywords: | Stroke Cerbral ischemia Tomography X-ray computed Thrombolysis |
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