中重度颈动脉狭窄与分水岭脑梗死关系的临床分析

Moderate to Severe Carotid Artery Stenosis and Watershed Cerebral Infarction Relations Clinical Analysis

目的:总结分析中重度颈动脉狭窄患者缺血性卒中的临床特点,提高临床上对此类疾病的认识、指导下一步的治疗。方法:收集52例缺血性卒中合并中重度颈动脉狭窄患者(狭窄组)和同期48例无颈动脉狭窄的患者(对照组),对两组患者影像学特点及临床症状作比较分析。结果:(1)狭窄组中,短暂性脑缺血发作(TIA)事件多,两组比较差异有统计学意义(P<0.05);(2)影像学:两组均以基底节区腔隙性病灶为主;狭窄组中分水岭梗死比率高(P<0.01)。结论:急性缺血性卒中患者,须排除合并颈动脉狭窄,对于合并颈动脉狭窄患者应强调个体化治疗,以利尽早恢复。

Objective： To summarize and analysis clinical features of ischemic stroke in patients with moderate and severe carotid stenosis,and thus to improve the understanding of such diseases and guide the next treatment in clinic. Methods：To collect the clinical data of 52 patients with ischemic stroke who were combined with stenosis （stenosis group） and 48 cases without carotid stenosis （control group） over the same period,and compare imaging characteristics and clinical symptoms of the two groups patients.Results：（1）stenosis group sufferrcd from transient ischemic attack （TIA） more often, the difference was statistically significant （/〈0.05）; （2） Image： Both are basal ganglia lacunar lesions mainly; stenosis group has the high rate of watershed infarction （P〈0.01）. Conclusions： As for acute ischemic stroke patient,we must eliminate he is combied with carotid artery stenosis, if so he/she should be cured individually to recover early.