应用高分辨磁共振对短暂性脑缺血发作和轻型卒中患者颈动脉斑块分型的研究

中华养生保健 ›› 2023, Vol. 41 ›› Issue (11): 189-191.

应用高分辨磁共振对短暂性脑缺血发作和轻型卒中患者颈动脉斑块分型的研究

陈伟¹, 曹菁菁^2,*

1.滕州市中心人民医院神经内四科,山东枣庄,277500;
2.滕州市中心人民医院康复医学科,山东枣庄,277500

出版日期:2023-06-01 发布日期:2023-05-25
通讯作者: ^*曹菁菁,E-mail：caojingjing841127@163.com。
作者简介:陈伟（1987—）,男,汉族,籍贯：山东省枣庄市,硕士研究生,主治医师,研究方向：脑血管病。

Online:2023-06-01 Published:2023-05-25

摘要/Abstract

摘要： 目的利用高分辨磁共振成像技术评估并比较短暂性脑缺血发作（Transient ischemic attack,TIA）及轻型卒中患者的颈动脉粥样硬化斑块类型,探讨两者之间是否存在差异。方法选取2018年10月—2020年12月于滕州市中心人民医院诊断为TIA的28例患者及诊断为轻型卒中的25例患者行颈动脉高分辨磁共振检查,观察是否存在动脉粥样硬化斑块及斑块的脂质纤维成分、纤维帽、斑块内出血、钙化等逐层对比分析并进行分型,并选取同期健康对照组20名一起比较。结果三组的无颈动脉粥样硬化斑块检出率比较,差异有统计学意义（P<0.05）,三组患者Ⅳ-Ⅴ型及Ⅵ型斑块所占比例不同,差异有统计学意义（P<0.05）。结论高分辨磁共振技术对TIA及轻型卒中患者颈动脉粥样硬化斑块是一种有效可行的临床评估手段,轻型卒中患者斑块易损性显著高于TIA患者,具体原因需进一步探讨。

关键词: 高分辨磁共振, 动脉粥样硬化斑块, 短暂性脑缺血发作, 轻型卒中

中图分类号:

R743.1

陈伟, 曹菁菁. 应用高分辨磁共振对短暂性脑缺血发作和轻型卒中患者颈动脉斑块分型的研究[J]. 中华养生保健, 2023, 41(11): 189-191.

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