后循环脑梗死患者的临床及影像学分析

Analysis of Clinical and Imaging Features of Cerebral Infarction in Patients with Posterior Circulation

目的探讨后循环脑梗死患者的临床预后及影像学表现。方法选取130例我院神经科于2012年1月至2013年12月收治的急性后循环脑梗死患者为研究对象,分析其影像学特点,并对其随访1年观察预后情况。结果 DSA检查供血动脉异常者102例,随访1年后预后良好98例(75%),预后不良32例(25%),预后不良多伴有供血动脉异常。结论后循环供血动脉异常是后循环脑梗死患者的重要发病基础及预后相关因素。

Objective To explore the clinical prognosis of patients with posterior circulation cerebral infarction and imaging findings. Method Select 130 cases of our hospital neurologist fi＇om January 2012 to December 2013 patients of acute posterior circulation cerebral infarction as the research object, analyze its imaging characteristics, and the follow-up of 1 year to observe the prognosis. Results After DSA examination found 102 cases of patients with abnormal blood supply artery, after 1 years follow-up fluent speaking and written prognosis in 98 patients （75%）, 32 cases （25%） of poor prognosis, poor prognosis associated with abnormal blood supply arteries. Conclusion Posterior circulation blood supply artery is the important basis of posterior circulation cerebral infarction patients and prognosis related factors.