ASPECT评分的临床应用进展

Progress of ASPECT score system in clinical application

Alberta卒中项目早期CT评分(ASPECTS)是一种评价急性缺血性卒中病人大脑中动脉供血区早期缺血性改变的简单、可靠、系统化方法,有助于预测溶栓效果和远期预后。CTA及多模态CT/MRI和后循环ASPECTS评分拓展了ASPECTS的应用范围,提高了病情判断的可靠性和有效性。对ASPECTS的方法、可靠性、不同模式及其在急性脑卒中的诊断、治疗及预后中的应用进行综述。

The Alberta Stroke Program Early CT Score （ASPECTS） is a simple, reliable and systematic approach for evaluating early ischemic changes in the middle cerebral artery territory in patients with ischemic stroke. ASPECTS is helpful in predicting thrombolytic effect and long-term prognosis. The developments of CTA, multimodal CT and MRI techniques and the posterior circulation ASPECTS have enriched the application scope of ASPECTS and have improved the reliability of disease judgment. In this article we reviewed the ASPECTS, its reliability, different models and applications in diagnosis, therapy and prognosis of acute stroke.