發(fā)布時(shí)間：2018-08-11 13:30

【摘要】：目的探討CT血管造影評(píng)估大面積腦梗死致惡性腦水腫(MBE)的臨床可行性。方法回顧性分析56例大面積腦梗死患者。入院12 h內(nèi)行CT平掃和CTA檢查。根據(jù)患者腦水腫程度不同,分成MBE組和非MBE組。分析兩組的臨床特征,利用NIHSS、ASPECT、CS評(píng)分,以確定MBE的危險(xiǎn)因素。結(jié)果有21例患者診斷為MBE,3 m時(shí)與非MBE組比較預(yù)后不良。兩組NIHSS、ASPECT、CS評(píng)分比較有明顯的統(tǒng)計(jì)學(xué)差異。多因素Logistic回歸分析影響MBE的危險(xiǎn)因素表明,基于CTA圖像測(cè)定的血管狹窄率≥70%、NIHSS評(píng)分17和CS2與MBE顯著相關(guān)。結(jié)論 CT血管造影用于評(píng)估大面積腦梗死并發(fā)惡性腦水腫有一定的應(yīng)用價(jià)值。
[Abstract]:Objective to evaluate the clinical feasibility of CT angiography in evaluating malignant cerebral edema (MBE) caused by large area cerebral infarction. Methods 56 patients with large area cerebral infarction were retrospectively analyzed. Plain CT scan and CTA examination were performed within 12 hours after admission. According to the degree of cerebral edema, patients were divided into MBE group and non-MBE group. The clinical features of the two groups were analyzed and the risk factors of MBE were determined by using the NIHSS ASPC CS score. Results there were 21 patients who were diagnosed as MBE 3 m and had poor prognosis compared with the non-MBE group. There was significant statistical difference between the two groups in NIHSS and ASPECT CS scores. Multivariate Logistic regression analysis showed that the vascular stenosis rate 鈮，

本文編號(hào)：2177134