应用MOSAIC评价缺血性脑血管病支架置入术

目的应用MOSAIC评分系统研究缺血性脑血管病患者支架置入术治疗的获益程度。方法在本院行大脑中动脉/颈内动脉支架置入术的脑血管病患者26例,使用MOSAIC(multimodal stroke assessment using computed tomography)评分系统对患者术前神经影像资料进行评分,并同时用ASPECTS(Alberta stroke program early CT score)对患者手术前后头颅灌注CT情况进行评分,并对两者间的相关性进行分析。结果26例患者术前MO-SAIC评分分为4组,4分组6例、5分组7例、6分组6例、7分组7例,4组病例经ASPECTS量表评分后的TTP改善程度分别为31.7%±14.17%、38.6%±15.73%、43.3%±10.33%、58.6%±13.45%,差异有统计学意义(H=10.673,P0.05)。对患者术前MOSAIC评分与支架置入术后TTP改善程度进行相关性分析,两者之间呈正相关(r=0.579,P0.002)。结论在多模式CT的基础上使用MOSAIC评分可以对支架置入术前患者的神经血管病理影像进行定量评价,MOSAIC评分越高的患者,支架置入术后TTP改善程度越好,支架治疗的获益程度更大。

The evaluations of the effect of stent implantation using multimodal computed tomography in ischemic cerebrovascular patients

Objective To evaluate the effect of stent implantation using Multimodal CT in patients with MCA and ICA stenosis.Methods Twenty-six patients with ischemic cerebrovascular disease who received MCA or ICA stent implantation in ChongQing xinqiao Hospital were recruited.Multimodal Stroke Assessment Using CT Score (MOSAIC) was used to evaluate the Neuroimaging data before stent implantation and Alberta Stroke Program Early CT Score (ASPECTS) to evaluate the time to peak (TTP) of CTP before and after stent implan...