本文選題：椎動(dòng)脈優(yōu)勢(shì) + 后循環(huán)梗死��； 參考：《中國(guó)全科醫(yī)學(xué)》2017年S1期

【摘要】：目的探討椎動(dòng)脈優(yōu)勢(shì)與后循環(huán)梗死發(fā)生率以及梗死側(cè)的關(guān)系,為后循環(huán)梗死的診治提供理論基礎(chǔ)。方法選取2014年10月—2016年10月在南陽(yáng)醫(yī)專第一附屬醫(yī)院治療的100例腦血管疾病患者,將存在椎動(dòng)脈優(yōu)勢(shì)的50例患者設(shè)為觀察組,不存在椎動(dòng)脈優(yōu)勢(shì)的50例患者設(shè)為對(duì)照組。比較兩組患者后循環(huán)梗死、小腦上動(dòng)脈(SCA)區(qū)(小腦半球上部)、大腦后動(dòng)脈(PCA)區(qū)、小腦后下動(dòng)脈(PICA)區(qū)、基底動(dòng)脈(BA)區(qū)梗死發(fā)生率,同時(shí)記錄觀察組SCA區(qū)、PCA區(qū)、PICA區(qū)、BA區(qū)梗死側(cè)與椎動(dòng)脈優(yōu)勢(shì)的相對(duì)關(guān)系,并比較兩組患者BA彎曲發(fā)生率。結(jié)果兩組SCA區(qū)、PCA區(qū)梗死發(fā)生率比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);觀察組PICA區(qū)、BA區(qū)及后循環(huán)梗死發(fā)生率比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。3例SCA區(qū)梗死患者梗死側(cè)位于椎動(dòng)脈優(yōu)勢(shì)側(cè)相對(duì)側(cè);4例PCA區(qū)梗死患者3例梗死側(cè)位于椎動(dòng)脈優(yōu)勢(shì)側(cè)相對(duì)側(cè),1例位于同側(cè);6例PICA區(qū)梗死患者梗死側(cè)位于椎動(dòng)脈優(yōu)勢(shì)側(cè)相對(duì)側(cè);11例BA區(qū)梗死患者6例梗死側(cè)位于椎動(dòng)脈優(yōu)勢(shì)側(cè)相對(duì)側(cè),5例位于同側(cè)。觀察組BA彎曲發(fā)生率[52.00%(26/50)]高于對(duì)照組[10.00%(5/50)],差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論存在椎動(dòng)脈優(yōu)勢(shì)的腦血管疾病患者后循環(huán)梗死發(fā)生率更高,同時(shí)PICA、BA區(qū)為梗死高發(fā)區(qū),椎動(dòng)脈優(yōu)勢(shì)側(cè)對(duì)側(cè)梗死發(fā)生率明顯高出同側(cè),且存在椎動(dòng)脈優(yōu)勢(shì)BA彎曲發(fā)生率更高。
[Abstract]:Objective to investigate the relationship between vertebral artery dominance and the incidence and side of posterior circulation infarction, and to provide a theoretical basis for the diagnosis and treatment of posterior circulation infarction. Methods from October 2014 to October 2016, 100 patients with cerebrovascular diseases were treated in the first affiliated Hospital of Nanyang Medical College. 50 patients with vertebral artery dominance were selected as observation group and 50 patients without vertebral artery dominance as control group. The incidence of infarction in posterior circulation, superior cerebellar artery (SCA) area (superior cerebellar hemisphere, posterior cerebral artery (PCAA), posterior inferior cerebellar artery (PICA), basilar artery (BAA) was compared between the two groups. At the same time, the relative relationship between the infarct side and the predominance of vertebral artery was recorded in the observation group, and the incidence of BA curvature was compared between the two groups. Results there was no significant difference between the two groups in the incidence of infarction in PCA area of SCA region, and the incidence of infarction in BA area and posterior circulation of PICA area in the observation group, there was no significant difference in the incidence of infarction between the two groups. The difference was statistically significant in 4 patients with PCA infarction, 4 patients with PCA infarction, 3 patients with infarction side located in the dominant side of vertebral artery, 1 patient with infarction in the same side and 6 patients with infarction in PICA area. The dead side was located at the relative side of the vertebral artery in 11 patients with infarction in BA area. 6 patients were located in the dominant side of the vertebral artery and 5 patients were located in the ipsilateral side of the dominant side of the vertebral artery. The incidence of BA bending in the observation group [52.00 / 26 / 50] was higher than that in the control group [10.00 / 50], and the difference was statistically significant (P 0.05). Conclusion the incidence of posterior circulation infarction is higher in patients with cerebrovascular diseases with superior vertebral artery, and the incidence of infarction is higher in PICABA area. The incidence of contralateral infarction in the dominant side of vertebral artery is significantly higher than that in the ipsilateral side, and the incidence of superior BA curvature of vertebral artery is higher than that of ipsilateral artery.
【作者單位】： 南陽(yáng)醫(yī)專第一附屬醫(yī)院;
【分類號(hào)】：R743.3

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