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老年复发性缺血性脑血管病患者DSA与MRA的对比分析
引用本文:廖瑜,赵笛,常霞.老年复发性缺血性脑血管病患者DSA与MRA的对比分析[J].临床神经病学杂志,2009,22(4).
作者姓名:廖瑜  赵笛  常霞
作者单位:1. 南京医科大学附属无锡第二医院神经内科,无锡,214002
2. 华中科技大学同济医学院2004级临床专业
摘    要:目的比较数字减影血管造影(DSA)及磁共振血管成像(MRA)检测老年复发性缺血性脑血管病(ICVD)患者的病变血管情况。方法对52例老年复发性ICVD患者脑梗死(CI)41例,短暂性脑缺血发作(TIA)11例]行DSA检查,其中44例患者行MRA检查。结果52例ICVD患者中,DSA检出血管异常43例(82.69%),其中血管狭窄39例(75%),CI组31例(75.61%),TIA组8例(72.73%);动脉瘤2例;血管发育不良及变异各1例。44例患者中,MRA检出血管狭窄10例(22.73%),其中CI组8例(18.18%),TIA组2例(4.55%)。DSA对病变血管的检出率显著高于MRA(P<0.01);但DSA与MRA对CI组及TIA组血管狭窄的检出率比较差异无统计学意义。结论DSA与MRA均可发现老年复发性ICVD的血管病变情况,DSA检出的阳性率更高。二者均可为ICVD提供血管病变的可靠证据。

关 键 词:脑血管病  复发  磁共振血管成像  数字减影血管造影术  

Contrast analysis of DSA and MRA in elder patients with recurrent ischemic cerebrovascular disease
LIAO Yu,ZHAO Di,CHANG Xia.Contrast analysis of DSA and MRA in elder patients with recurrent ischemic cerebrovascular disease[J].Journal of Clinical Neurology,2009,22(4).
Authors:LIAO Yu  ZHAO Di  CHANG Xia
Institution:LIAO Yu,ZHAO Di,CHANG Xia.Department of Neurology,the Second Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi 214002,China
Abstract:Objective To compared the condition of DSA and MRA for detection the lesion vessels in elder patients with recurrent ischemic cerebrovascular disease(ICVD).Methods 52 patients with ICVD,including 41 cases of cerebral infarction(CI) and 11 cases of transient ischemic attack(TIA) were detected by DSA,and the 44 cases of them were detected by MRA too.Results The vascular anomalies were detected in 43 cases(82.69%) of the 52 patients by DSA.Among them,39 cases(75%) had vascular stenosis,in which 31 cases(75.61%...
Keywords:cerebrovascular disease  recurrence  DSA  MRA  
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