椎基底动脉延长扩张症的诊断与治疗的管理分析

The Diagnosis and Treatment of Vertebrobasilar Dolichectasia of Management Analysis

目的探讨椎基底动脉延长扩张症的诊断与治疗分析。方法回顾性分析24例椎基底动脉延长扩张症病例的临床资料,具体分析其临床表现、影像学检查及治疗方法等。结果椎基底动脉延长扩张症的临床表现为缺血性卒中17例,脑干及脑神经受压4例,梗阻性脑积水1例,脑出血2例;对缺血性卒中患者给予抗血小板聚集、抗栓、抗动脉粥样硬化治疗。24例患者治疗后约75%患者在出院时无明显症状且无残障,2例脑出血患者均死亡。结论椎基底动脉延长扩张症的病因目前仍不明确,临床表现最常见的是缺血性卒中,其次是脑干及脑神经受压、梗阻性脑积水、脑出血。诊断需依赖影像学检查,MR是目前VBD首选的检查方法。

Objective To explore the diagnosis and treatment of vertebrobasilar dolichectasia analysis.Methods 24 cases vertebrobasilar dolichectasia of clinical data were analyzed retrospectively,and detailed analysis of the clinical manifestations,imaging examination and treatment,etc.Result The clinical manifestations of vertebrobasilar dolichectasia was 17 cases of ischemic stroke,brain stem and cranial nerve compression 4 cases,obstructive hydrocephalus 1 case and cerebral hemorrhage 2 cases;patients with ischemic stroke were given the platelet aggregation,antithrombotic,resistance to atherosclerosis therapy.24 cases patients had about 75% of in the hospital after treatment in patients with no obvious symptoms without disabilities and 2 cases of cerebral hemorrhage patients were died.Conclusion The cause of vertebrobasilar dolichectasia is still not clear,and is the most common clinical manifestations of ischemic stroke.vertebrobasilar dolichectasia of diagnosis relies on imaging studies,and MR is VBD preferred check method at present.