【摘要】：目的探討卵圓孔未閉(PFO)與隱源性腦卒中(CS)間的關聯(lián)性,及伴有卵圓孔未閉的隱源性腦卒中患者頭顱磁共振-彌散加權成像(MRI-DWI)的特征。方法回顧性分析西京醫(yī)院神經(jīng)內(nèi)科139例隱源性腦卒中患者的MRI-DWI特征,具體分組為:CS-PFO(+)組(n=91,65.5%)和CSPFO(-)組(n=48,34.5%)。結果合并PFO的CS患者所占比例明顯高于無PFO患者,而且彌散加權成像(DWI)顯示與CS-PFO(-)組相比CS-PFO(+)組梗死灶主要累及皮層及皮質(zhì)下≥15 mm的單發(fā)梗死灶,P0.05,差異有統(tǒng)計學意義;另外兩組梗死灶在血管分布區(qū)域上均以大腦中動脈(MCA)所占比例最多,但均無統(tǒng)計學意義。結論卵圓孔未閉可能是隱源性腦卒中患者的一個重要致病因素,CS-PFO(+)患者梗死灶分布以累及皮層-皮質(zhì)下≥15 mm為主。
[Abstract]:Objective to investigate the correlation between (PFO) and (CS) in patients with patent foramen ovale and the characteristics of cranial magnetic resonance diffusion-weighted imaging (MRI-DWI) in patients with cryptogenic stroke with patent foramen ovale. Methods the MRI-DWI features of 139 patients with cryptogenic stroke in Department of Neurology, Xijing Hospital were retrospectively analyzed. The patients were divided into CS-PFO (n = 91) group (n = 65.5%) and CSPFO (-) group (n = 48, 34.5%). Results the proportion of CS patients with PFO was significantly higher than that without PFO. Compared with CS-PFO (-) group, the infarct focus of CS-PFO (-) group was mainly involved in single infarct with cortical and subcortical 鈮，

本文編號：2298389