| 76例短暂性脑缺血发作DSA分析 |
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| 引用本文： | 顾平,吴丹岭,黄玉杰,杨咏波.76例短暂性脑缺血发作DSA分析[J].脑与神经疾病杂志,2008,16(1):23-23,44. |
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| 作者姓名： | 顾平 吴丹岭 黄玉杰 杨咏波 |
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| 作者单位： | 1. 苏州大学附属无锡市第四人民医院神经内科,无锡,214062
2. 南京大学附属鼓楼医院神经介入中心 |
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| 摘 要： | 目的:通过数字减影血管造影(DSA)检查,研究短暂性脑缺血发作(TIA)与供血脑动脉病变的关系,探讨TIA发病机制。方法:选择TIA患者76例行DSA全脑血管造影,观察患者颈总动脉,颈内动脉和椎-基底动脉颅内、外段血管有无粥样硬化斑块、性质及狭窄程度。结果:76例中67例(88.2%)有粥样硬化斑块,其中狭窄≥50%59例(88.1%),颅外段狭窄50例(74.6%),颅内段狭窄17例(25.4%),46例(68.6%)发现有不稳定性斑块。结论:DSA可以明确TIA患者血管粥样硬化斑块的性质、狭窄程度,对指导有效治疗起重要作用。
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| 关 键 词： | 短暂性脑缺血发作 DSA 粥样硬化斑块 病因 |
| 文章编号： | 1006-351X（2008）01-0023-02 |
| 收稿时间： | 2007 |
TIA with DSA findings: analysis of 76 cases |
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| Gu Ping ,Wu Dan-ling ,et al..TIA with DSA findings: analysis of 76 cases[J].Journal of Brain and Nervous Diseases,2008,16(1):23-23,44. |
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| Authors: | Gu Ping Wu Dan-ling |
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| Institution: | Gu Ping ,Wu Dan-ling ,et al.( Departement of Neurology ,the Fourth Hospital of Wuxi ,Suzhou University ,Wuxi 214062 ,China) |
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| Abstract: | Objective： To explore the etiology ,the relationship between the patients suffered from TIA and the cere- bral-vascular pathology with DSA results . Methods： 76patients with TIA were given angiography to observe the state of CCA, ICA and VA . Results： 67cases （88.2%） were found atheromatous plaque . Among them 59 cases （88.1 % ） with artery stenosis were superior to 50% . Among them 50cases （74.6%） with extracranial artery stenosis , 17 cases （25.4%） with endoccranial artery stenosis, and 46 cases （68.5 % ） with instability plaque （soft plaque and ulcer plaque ） were found % Conclusion： DSA can identify the extent and characteristic of the atheromatous plaque. It is important to direct effective treatment for the patients with TIA |
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| Keywords: | TIA DSA Atheromatous plaque Etiology |
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