缺血性脑血管病患者全脑血管造影特点分析

Retrospective analysis on cerebral angiography features of patients with ischemic cerebrovascular disease

目的:探讨分析缺血性脑血管病患者全脑血管造影的特点。方法:回顾性分析127例缺血性血管病患者资料,将全脑血管造影检查发现的97例脑血管狭窄或闭塞的患者,将其根据年龄分为青年组、中年组和老年组,统计分析其全脑血管造影在不同年龄段、不同类型缺血性脑血管病中的差异。结果:在127例患者中共发现97例(占76.4%)患者有脑动脉闭塞或狭窄,其中单纯颅内狭窄40例,单纯颅外狭窄31例,颅内外狭窄26例;青年患者单纯颅内狭窄居多(占69.2%),而老年患者中颅内外狭窄的比例为40.5%,青年组明显多于老年和中年患者的所占比例;97例患者狭窄部位有124处,闭塞47处,共171处,其中青年患者中闭塞比例为38.5%,明显高于中年患者的19.6%及老年患者的22.4%;而不同类型缺血性脑血管病患者的狭窄部位及狭窄程度无统计学差异。结论:缺血性脑血管病患者在不同年龄段中具有不同的狭窄部位分布及不同的狭窄程度,尤以青年患者的闭塞比例最多,而患者的脑血管狭窄部位及狭窄程度与缺血性脑血管病的种类无明显相关性。

Objective： To investigate cerebral angiography Features of patients with ischemic cerebrovascular disease. Methods： One hundred and twenty seven patients with ischemic cerebrovascular disease were selected in our hospital from March 2013 to April 2015, statistical analysis of their cerebral angiography differences at different ages, different types of ischemic cerebrovascular disease. Results： One hundred and twenty seven patients were found 97 patients（76.4%） had cerebral artery occlusion or stenosis, simple intracranial stenosis 40 cases, 31 cases of simple extracranial stenosis, 26 intracranial and extracranial stenosis cases; on the view of age, young patients with simple intracranial stenosis（69.2%）, while the proportion of elderly patients in intracranial and extracranial stenosis was 40.5%, significantly higher than the proportion of old and middle-aged patients; patients with ischemic cerebrovascular disease at different types of stenosis and stenosis had no significant difference. Conclusion： Patients with ischemic cerebrovascular disease in different age have different distribution and different stenosis, especially in the largest proportion of young patients with occlusion, while parts of the brain in patients with vascular stenosis and stenosis and ischemic cerebrovascular disease the type was no significant association.