【摘要】：目的分析Stanford A型主動(dòng)脈夾層(AD)累及頸動(dòng)脈時(shí)對(duì)血流的影響,為探討A型主動(dòng)脈夾層與腦梗死的相關(guān)性提供參考依據(jù)。方法連續(xù)收集急診超聲診斷并經(jīng)CT血管造影術(shù)(CTA)確診的41例急性Stanford A型主動(dòng)脈夾層患者,分為夾層未累及頸動(dòng)脈組(A組,n=20)和累及頸動(dòng)脈組(B組,n=21),分析兩組頸動(dòng)脈頻譜及血流量差異并比較腦梗死發(fā)生率及病死率。結(jié)果 Stanford A型AD患者頭臂血管累及率高達(dá)51.20%。A、B兩組間的頸動(dòng)脈頻譜形態(tài)和血流量間差異有統(tǒng)計(jì)學(xué)意義(P0.05),B組中頻譜形態(tài)異常者明顯高于A組(P0.05),雙側(cè)頸內(nèi)動(dòng)脈(ICA)和椎動(dòng)脈(VA)血流量比較,B組明顯低于A組(P0.05);比較兩組間新發(fā)腦梗死發(fā)生率(20.00%vs 42.86%,P=0.115 9)、病死率(20.00%vs 38.10%,P=0.203 1)無(wú)統(tǒng)計(jì)學(xué)差異。結(jié)論 Stanford A型夾層頭臂血管累及率高,雖然腦梗死發(fā)生率和病死率未顯示明顯差別,但累及頸動(dòng)脈時(shí)頻譜形態(tài)及入顱血流量明顯受到影響,應(yīng)及時(shí)對(duì)急性A型主動(dòng)脈夾層患者頸動(dòng)脈進(jìn)行評(píng)估,為主動(dòng)脈夾層患者腦梗死防治及改善預(yù)后提供重要依據(jù)。
[Abstract]:Objective To analyze the influence of Stanford type A aortic dissection (AD) on blood flow in patients with carotid artery involvement, and to provide reference for exploring the correlation between type A aortic dissection and cerebral infarction. The frequency spectrum and blood flow of carotid artery in group A (n=20) and group B (n=21) were analyzed and the incidence and mortality of cerebral infarction were compared. Compared with group A (P 0.05), the blood flow of bilateral internal carotid artery (ICA) and vertebral artery (VA) in group B was significantly lower than that in group A (P 0.05), and the incidence of new cerebral infarction (20.00% vs 42.86%, P = 0.1159) and mortality (20.00% vs 38.10%, P = 0.2031) were not significantly different between the two groups. The incidence and mortality of acute type A aortic dissection were not significantly different, but the frequency spectrum and blood flow were significantly affected when the carotid artery was involved.
【作者單位】： 解放軍第四軍醫(yī)大學(xué)西京醫(yī)院超聲醫(yī)學(xué)科;
【基金】：國(guó)家自然科學(xué)基金(No.81301228) 陜西省國(guó)際合作項(xiàng)目(No.2015KW-049)
【分類號(hào)】：R445.1;R543.1;R743.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前3條

1 朱曉麗;王崢;鄭敏娟;劉麗文;徐磊;劉從偉;;超聲聯(lián)合CTA在Stanford A型主動(dòng)脈夾層術(shù)后隨訪中的應(yīng)用價(jià)值[J];中國(guó)超聲醫(yī)學(xué)雜志;2016年09期

2 周炳元;楊向軍;楊俊華;趙彩明;徐蘇丹;王惠芬;;主動(dòng)脈夾層累及頸動(dòng)脈的超聲圖像特點(diǎn)[J];蘇州大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2010年03期

3 趙學(xué)靜;丁桂春;;主動(dòng)脈夾層并右頸總動(dòng)脈夾層超聲表現(xiàn)1例[J];中國(guó)超聲醫(yī)學(xué)雜志;2010年04期

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3 朱瑋;張一明;;Stanford A型主動(dòng)脈夾層患者圍術(shù)期的護(hù)理[J];江蘇醫(yī)藥;2013年18期

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