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动脉狭窄

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Results In 84 cases of nerve root type,stenosis was found in 438 intervertebral foramen,of which C6~7 and C5~6 intervertebral foramen stenosis accounted for 79.6%.The causes of intervertebral foramen stenosis were uncinate process articulation hyperosteogeny,intervenebral disc protrusion,vertebral body hypertrophy,zygapophysis hyperosteogeny and dislocation etc.40 cases of vertbral artery type manifested that vertbral artery became slim and deviousness as a result of the compression of vertbral artery (20.7%) by osteophyte.22 cases of myeloid type manifested with cervical spinal canal stenosis,hyperosteogeny of posterior vertebral body edge,posterior longitudinal ligament calcification and cervical intervertebral disc protrusion etc.

结果 84例神经根型中,发现椎间孔狭窄438处,其中C5~6和C6~7椎间孔狭窄占79.6%,椎间孔狭窄的成因有钩突关节骨质增生、椎间盘突出、椎体肥大、小关节突骨质增生、错位等;40例椎动脉型表现为骨赘压迫椎动脉(52.5%),导致椎动脉变细、粗细不均和椎动脉迂曲。22例脊髓型表现为颈椎椎管狭窄、椎体后缘骨质增生、后纵韧带钙化、椎间隙狭窄和颈椎间盘突出等。

Stenosis of internal caroid antery was found in 32 of 48 branches in 24 case. 5 branches were occlusive and 11 branches were normal. 22 cases with large or moderate cerebral infarction volume (>5 cm3) confirmed by CT and MRI were smaller than those on MSCTPI as having abnormal perfusion lesions,which were moderate and obvious stenosis and occlusion on MSCTA. In 2 cases with small cerebral infarction volume(<5 cm3), MSCTPI and MSCTA revealed normal.

其中32支颈内动脉呈不同程度的狭窄,5支颈内动脉闭塞,11支血管无狭窄。22例在常规CT及MRI图像上为中及大体积梗死(>5 cm3)的患者,MSCTPI发现与梗死灶相对应的异常灌注区,且均比常规CT及MRI图像上病灶体积大, MSCTA显示颈内动脉呈中重度狭窄或闭塞。2例未发现明显灌注异常的患者,为小体积梗死灶(<5 cm3),MSCTA显示颈内动脉正常。

Stenosis of internal caroid antery was found in 32 of 48 branches in 24 case. 5 branches were occlusive and 11 branches were normal. 22 cases with large or moderate cerebral infarction volume (>5 cm3) confirmed by CT and MRI were smaller than those on MSCTPI as having abnormal perfusion lesions,which were moderate and obvious stenosis and occlusion on MSCTA.

其中32支颈内动脉呈不同程度的狭窄,5支颈内动脉闭塞,11支血管无狭窄。22例在常规CT及MRI图像上为中及大体积梗死(>5 cm3)的患者,MSCTPI发现与梗死灶相对应的异常灌注区,且均比常规CT及MRI图像上病灶体积大, MSCTA显示颈内动脉呈中重度狭窄或闭塞。2例未发现明显灌注异常的患者,为小体积梗死灶(<5 cm3),MSCTA显示颈内动脉正常。

There were 15 cases of middle cerebral arteries, 5 cases of vertebral arteries, 3 cases of basilar arteries and 2 cases of internal carotid arteries. Among all the branches with stenosis, symptomatic severe stenosis presented in 21 vessels (14 MCA, 3 VA, 2 BA and 2 ICA), nonsymptomatic severe stenosis in 1 vessel and symptomatic middle stenosis in 3 vessels (1 MCA and 2 VA).

其中大脑中动脉15支,椎动脉5支,基底动脉3支和颈内动脉2支。21支血管(MCA 14支,BA 2支,VA 3支和ICA 2支)为症状性重度狭窄、1支为无症状性重度狭窄;3支血管(MCA 1支和VA 2支)为症状性中度狭窄。

Objective: To systematically assess the value of 2 dimension color Doppler ultrasound (2D-CDUS) in diagnosis, surgical treatment and interventional therapy of carotid artery stenosis.

目的:探讨二维彩色多普勒超声在中-重度颈动脉狭窄患者外科手术及介入治疗前后的应用价值。

Results There are 17 cases whose CTA display rate is 100% of common carotid artery, external carotid artery and internal carotid artery. 18 branches internal carotid artery stenosis, in them 10 branches light stenosis, 4 branches midrange stenosis, 3 branches heavy stenosis, 1 branches obstruction.

回顾性分析17例经临床或DSA检查证实的颈动脉狭窄的CTA检查结果,对血管显示情况进行评价,其中7例进行了DSA检查并与CTA结果比较。

Objective: To evaluate the clinical value of carotid artery stenting for protecting the ischemic cerebrovascular disease.

目的:探讨颈动脉狭窄支架置入术预防脑梗死的临床意义。

Objective To discuss the clinical applications and the factors related to the complications of stenting for intracranial artery stenosis.

目的 探讨颅内动脉狭窄支架成形术的临床应用和相关并发症的影响因素。

During the follow-up period of 2-18 months 2 cases of all suffered from transient ischaemic attack, there was no cerebral infarction and all stented vessels remained patent.

结果 24例患者远端保护装置释放和回收以及支架放置全部成功,其中14例在回收的远端保护装置中发现有斑块碎片,无围手术期并发症,B超随访随访2~18个月,颈动脉狭窄部位血管通畅,2例出现短暂性脑缺血发作,未见脑梗死再发。

Conclutions:Combined application of MRA and TCD can obviously improve the crrect rate of diagnosis in ...

核磁共振和彩色多普勒两者新技术的联合应用可明显提高椎动脉狭窄疾患的正确诊断率。

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