大脑中动脉狭窄与闭塞所致脑梗死分型比较

Difference of Cerebral Infarction Types between MCA Stenosis-induced and MCA Occlusion-induced Cerebral Infarction

目的比较大脑中动脉(MCA)狭窄与闭塞所致脑梗死分型。方法选取2013年6月—2016年6月河池市人民医院收治的MCA病变致脑梗死患者60例,根据MCA病变情况分为狭窄组27例和闭塞组33例,比较两组患脑梗死分型。结果狭窄组中单发性梗死、多发性梗死患者数分别为15例、12例,闭塞组中单发性梗死、多发性梗死患者数分别为7例、26例;狭窄组中5例患者存在分水岭脑梗死(BZI),闭塞组中23例患者存在BZI。结论 MCA狭窄与闭塞所致脑梗死分型存在差异,前者主要引起单发性脑梗死,而后者主要引起多发性脑梗死。

Objective To compare the cerebral infarction types between MCA stenosis-induced and MCA occlusion-induced cerebral infarction. Methods A total of 60 patients with MCA lesion-induced cerebral infarction were selected in the People’s Hospital of Hechi from June 2013 to June 2016,and they were divided into A group（ with MCA stenosis,n = 27）and B group（ with MCA occlusion,n = 33） according to MCA lesions. Cerebral infarction types were compared between the two groups. Results Of A group, 15 cases were isolated infarction, 12 cases were multiple infarction, meanwhile 5 cases complicated with cerebral watershed infarction; of B group,7 cases were isolated infarction,26 cases were multiple infarction,meanwhile 23 cases complicated with cerebral watershed infarction. Conclusion Cerebral infarction types between MCA stenosis-induced and MCA occlusion-induced cerebral infarction are significantly different,MCA stenosis-induced cerebral infarction are mainly isolated,while MCA occlusion-induced cerebral infarction are mainly multiple.