腔隙性脑梗死的临床与CT分析

目的:结合病史分析腔隙脑梗死临床症状和CT表现,着重讨论腔隙脑梗死病因与临床症状之间的关系.方法:回顾性分析106例腔隙性脑梗死的临床CT资料.结果:腔隙性脑梗死是老年人最常见的脑血管疾病,临床症状表现形式多种多样,且有相当一部分病人肢体定位症状与病变部位不符,另有部分病人临床无症状.CT表现为病灶大小5～15mm低密度灶,好发于基底节豆状核、尾状核和内囊以及丘脑、桥脑和脑白质.可伴有其他部位脑梗死、脑出血、脑萎缩及皮层下动脉硬化性脑病等.结论:腔隙性脑梗死与高血压、动脉硬化、糖尿病及血栓有密切关系,临床症状对腔隙性脑梗死的CT诊断帮助不大.

The Clinical Analysis of CT Imagine on Cerebral Lacunar Infarction

Objective:To discuss the relationship between factors and clinical symptoms on the basis of the clinical symptoms and CT appearances of cerebral lacunar infarction(CLI).Method: The clinical datas of 106 cases of CLI were analyzed retrospectively.Result: The aged persons easily suffered form CLI that was the most important cerebral diseases.The CLI symptoms were different.According to the appearance the patients,the location of diseases were found difficultly.Other patients were lack of symptom.The high-density diameter of appearance of CT was 5~15mm.The lesion focus were located at internal capsule,putamina and so on.Conclusion: The high risk factors of CLI might be hypertension,diabetes,hyperglycemia,and thrombosis and so on.The clinical symptoms are limited at the CT diagnosis the CLI.