本文選題：Wallenberg綜合征　切入點(diǎn)：延髓梗死　出處：《中國老年學(xué)雜志》2017年18期

【摘要】：目的探討Wallenberg綜合征病變血管與梗死部位的相關(guān)性。方法回顧性分析26例Wallenberg綜合征患者影像資料。根據(jù)影像學(xué)方法,將Wallenberg綜合征病變血管分為椎動(dòng)脈病變及小腦后下動(dòng)脈病變。根據(jù)磁共振,將延髓背外側(cè)縱向分為上、中及下三部,橫向分為A、B、C、D及E五個(gè)部位,分析病變血管與梗死部位的關(guān)系。結(jié)果 26例患者中,椎動(dòng)脈病變14例,小腦后下動(dòng)脈病變12例;椎動(dòng)脈病變中動(dòng)脈夾層3例,動(dòng)脈瘤1例。Wallenberg綜合征梗死病灶縱向分布最常見部位是延髓中部(84.62%),其次是延髓下部(34.62%),最后是延髓上部(23.08%);在延髓梗死灶的橫向分布方面,Wallenberg綜合征梗死灶最常見的部位是延髓背外側(cè)的A部(84.16%),其他依次為B部(80.77%)、C部(46.15%)、E部(34.62%)及D部(26.92%)。椎動(dòng)脈病變組與小腦后下動(dòng)脈病變組比較,兩組患者在出現(xiàn)延髓中段梗死(P=0.033)及延髓A部(P=0.003)和B部(P=0.012)梗死方面有統(tǒng)計(jì)學(xué)差異。結(jié)論椎動(dòng)脈病變也是導(dǎo)致Wallenberg綜合征的重要原因,動(dòng)脈夾層是常見的血管病變;椎動(dòng)脈病變導(dǎo)致的Wallenberg綜合征梗死病灶更加容易累及延髓中段,延髓背外側(cè)的A及B部位。
[Abstract]:Objective to investigate the correlation between the pathological vessels of Wallenberg syndrome and the infarct location. Methods the imaging data of 26 patients with Wallenberg syndrome were retrospectively analyzed. The pathological vessels of Wallenberg syndrome were divided into vertebral artery lesion and posterior inferior cerebellar artery lesion. According to magnetic resonance imaging, the dorsolateral medulla was divided into three parts: upper, middle and lower. Results among 26 patients, 14 cases had vertebral artery lesion, 12 cases had posterior inferior cerebellar artery disease, 3 cases had dissection of middle artery of vertebral artery. Aneurysm. The most common location of infarct lesions in Wallenberg syndrome is 84.62% in the middle of medulla oblongata, 34.62% in the lower part of medulla oblongata, 23.08% in the upper part of medulla oblongata, and the most common location in the transverse distribution of infarct foci in Wallenberg syndrome is the inferior medulla oblongata, the inferior part of medulla oblongata, and the superior part of medulla oblongata. It was part A of dorsolateral medulla oblongata 84.16, the other being part B 80.77 and part C 46.15 and part E 34.622.The vertebral artery lesion group was compared with the posterior inferior cerebellar artery disease group. There were significant differences between the two groups in the occurrence of infarction in the middle segment of medulla oblongata (P0. 033), the infarction in part A (P 0. 003) and the infarction in part B (P 0. 012). Conclusion vertebral artery disease is also an important cause of Wallenberg syndrome, and dissection of artery is a common vascular disease. The infarct focus of Wallenberg syndrome caused by vertebral artery disease is more likely to involve the middle part of medulla oblongata and A and B parts of dorsolateral medulla oblongata.
【作者單位】： 柳州市人民醫(yī)院;廣西醫(yī)科大學(xué)第一附屬醫(yī)院;
【分類號(hào)】：R743.3

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