摘要
目的探讨ABCD^(3)评分联合三维动脉自旋标记(3D-ASL)灌注成像评估短暂性脑缺血发作(TIA)患者7 d、90 d发生脑梗死的价值。方法纳入77例TIA患者,所有患者2 h内进行ABCD^(3)评分,依据评分分为高危组、中危组、低危组。所有患者48 h内进行磁共振灌注成像检查,依据灌注面积分为3组:低灌注最大面积>3 cm^(2)组,低灌注最大面积<3 cm^(2)组,无低灌注组。对患者进行随访,记录7 d、90 d是否发生脑梗死。分析ABCD^(3)评分联合3D-ASL低灌注面积评估方法、单独ABCD^(3)评分评估方法或3D-ASL低灌注面积评估方法的预测价值。结果与低危组患者比较,中危组、高危组7 d、90 d内脑梗死发生率高,与无低灌注患者比较,低灌注面积>3 cm^(2)的TIA患者脑梗死发生率高。对于TIA患者7 d内、90 d发生脑梗死的评估,联合检测更优。结论ABCD^(3)评分中危组、高危组及低灌注面积>3 cm^(2)是TIA患者早期发生脑梗的风险因素,ABCD^(3)评分联合3D-ASL低灌注面积能更有效且准确预测TIA患者脑梗死的早期进展。
Objective To discuss the value of ABCD^(3) score combined with three-dimensional arterial spin labeling(3D-ASL)in assessing the occurrence of cerebral infarction in patients with transient ischemic attack(TIA)at 7 days and 90 days.Methods This study included 77 patients,ABCD^(3) score and 3D-ASL were assessed within time range,and then according to the score and perfusion area,the subjects were divided into 3 groups.The subjects were followed up and recorded whether cerebral infarction occurred in 7 days and 90 days.Finally,the predictive value of different evaluation methods based on the ABCD^(3) score combined with the 3D-ASL low perfusion area evaluation method and the ABCD^(3) score evaluation method or the 3D-ASL low perfusion area evaluation method alone were analyzed.Results Compared with patients in the low-risk group,the middle-risk group and the high-risk group had a higher incidence of cerebral infarction within 7 days and 90 days.Compared with patients without hypoperfusion,the incidence of cerebral infarction in TIA patients with a low perfusion area greater than 3 cm^(2) was higher.For the prediction of cerebral infarction in patients with TIA within 7 days and 90 days,combined detection was better than single detection.Conclusion The ABCD^(3) score in the middle-risk group,the high-risk group and the low perfusion area greater than 3 cm^(2) are risk factors for early cerebral infarction in TIA patients.The ABCD^(3) score combined with 3D-ASL low perfusion area can more effectively and accurately predict the early progression of cerebral infarction in TIA patients.
作者
肖芳
陆芳
张兆
王一媚
张千
陶带花
贤自强
尹家瑜
黄龙全
胡北泉
赵敬源
冯冬梅
XIAO Fang;LU Fang;ZHANG Zhao;WANG Yimei;ZHANG Qian;TAO Daihua;XIAN Ziqiang;YIN Jiayu;HUANG Longquan;HU Beiquan;ZHAO Jingyuan;FENG Dongmei(The Fifth Affiliated Hospital of Guangxi Medical University/Nanning First People’s Hospital,Nanning 530021,China)
出处
《中国实用神经疾病杂志》
2023年第6期677-681,共5页
Chinese Journal of Practical Nervous Diseases
基金
南宁市科学技术研究与技术开发计划项目(编号:20173021-1)
广西区自筹课题(编号:Z20210139)
广西壮族自治区卫生健康委员会自筹课题(编号:ZA20221108)。