[1]王 东,范玲玲,徐东为,等.两种不同分型胚胎型大脑后动脉对急性后循环脑梗死的影响研究[J].陕西医学杂志,2021,50(1):51-54.[doi:DOI:10.3969/j.issn.1000-7377.2021.01.013]
　WANG Dong,FAN Lingling,XU Dongwei,et al.Effects of two different types of fetal-type posterior cerebral artery on acute posterior circulation infarction[J].,2021,50(1):51-54.[doi:DOI:10.3969/j.issn.1000-7377.2021.01.013]
点击复制

两种不同分型胚胎型大脑后动脉对急性后循环脑梗死的影响研究
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年1期
页码:
51-54
栏目:
临床研究
出版日期:
2021-01-05

文章信息/Info

Title:
Effects of two different types of fetal-type posterior cerebral artery on acute posterior circulation infarction
作者:
王 东1; 范玲玲2; 徐东为3; 闫忠军4
(1.西安医学院第二附属医院神经内科,陕西 西安 710038; 2.西安医学院第一附属医院神经内科,陕西 西安 710077; 3.第七十八集团军医院神经外科,黑龙江 牡丹江 157009; 4.空军军医大学唐都医院神经外科,陕西 西安 710038)
Author(s):
WANG Dong; FAN Lingling; XU Dongwei; YAN Zhongjun
(Department of Neurology,the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038,China)
关键词:
胚胎型大脑后动脉;  急性脑梗死;  后循环;  血管成像;  影响因素
Keywords:
Fetal-type posterior cerebral artery;  Acute cerebral infarction;  Posterior circulation;  Angiograph;  Influencing factor
分类号:
R 743.3
DOI:
DOI:10.3969/j.issn.1000-7377.2021.01.013
文献标志码:
A
摘要:
目的:探讨两种分型胚胎型大脑后动脉(FTP)与急性后循环脑梗死疾病严重程度及预后的关系。方法:收集急性后循环脑梗死患者42例,所有患者均行颅脑数字减影血管造影(DSA)检查及续贯的血管内治疗。根据DSA结果将研究对象分为完全型胚胎型大脑后动脉(CFTP)组与部分型胚胎型大脑后动脉(PFTP)组。分析不同组别的胚胎型大脑后动脉与急性后循环脑梗死患者起病时临床症状的严重程度及术后预后的相关性。结果:共42例急性后循环脑梗死患者纳入研究,其中CFTP组18例,PFTP组24例(包含双侧PFTP1例)。单侧FTP所占比例为(1/42,2.38%),两组患者的术前NIHSS评分平均值存在统计学差异(P<0.05)。经血管内治疗后,两组NIHSS评分变化均值水平存在统计学差异(P<0.01)。通过术后90 d的随访,两组的MRS评分0～2分的分布上有统计学意义。结论:单侧胚胎型大脑后动脉更常见,其中合并完全型胚胎型大脑后动脉的急性后循环脑梗死患者相较于部分型胚胎型大脑后动脉患者的起病症状更轻,介入术后效果更好,远期生活质量更高。
Abstract:
Objective:To investigate the relationship of the severity and prognosis between two types fetal-type posterior cerebral artery(FTP)and acute posterior circulation infarction.Methods:Patients with acute posterior circulation circulation infarction were collected.All patients received DSA examination and consecutived interventional therapy.The subjects were divided into complete fetal posterior cerebral artery(CFTP)group and partial fetal posterior cerebral artery(PFTP)group according to the results of DSA.The correlation between fetal-type posterior cerebral artery in different groups and the severity of clinical symptoms and postoperative prognosis in patients was analyzed.Results:A total of 42 patients with acute posterior circulation infarction were included in the study,including 18 cases in the CFTP group and 24 cases in the PFTP group(including 1 case with bilateral PFTP).The proportion of unilateral FTP was 2.38%(1/42),and the average preoperative NIHSS score of the two groups was statistically different(P<0.05).After interventional therapy,there was a significant statistical difference in the mean level of NIHSS score between the two groups(P<0.01).After 90 days of follow-up,the distribution of MRS score of 0-2 in the two groups was statistically significant different.Conclusion:Unilateral fetal-type posterior cerebral artery is more common,and patients with acute posterior circulation infarction combined with complete fetal posterior cerebral artery have milder onset symptoms,better interventional effect and better long-term quality of life than patients with partial fetal posterior cerebral artery.

参考文献/References:

[1] Zhou MG,Wang HD,Zeng XY,et al.Mortality,morbidity,and risk factors in China and its provinces,1990-2017:a systematic analysis for the Global Burden of Disease Study 2017 [J].The Lancet,2019,394(10204):1145-1158.
[2] 王陇德,刘建民,杨 弋,等.《中国脑卒中防治报告2018》概要[J].中国循环杂志,2019,34(2):105-119.
[3] 中国卒中学会,中国卒中学会神经介入分会,中华预防医学会卒中预防与控制专业委员会介入学.急性缺血性卒中血管内治疗中国指南2015 [J].中国卒中杂志,2015,10(7):590-607.
[4] Banerjee G,Stone SP,Werring DJ.Posterior circulation ischaemic stroke [J].BMJ,2018,361:85.[5 ] Yang Y,Liang C,Shen CJ,et al.The effects of pharmaceutical thrombolysis and multi-modal therapy on patients with acute posterior circulation ischemic stroke:Results of a one center retrospective study[J].Hatemational Journal of Surgery,2017,39:197-201.
[6] 王 雪,张春婷,贾庆婷,等.椎基底动脉扩张延长症与后循环脑梗死[J].中华神经医学杂志,2016,15(1):26-29.
[7] 凌 玲.245例脑卒中急性期中医证候关系研究分析[J].陕西中医,2002,23(8):693-694.
[8] Meier P,Knapp G,Tamhane U,et al.Short term and intermediate term comparison of endarterectomy versus stenting for carotid artery stenosis:systematic review and meta analysis of randomized controlled clinical trials[J].British Medical Journal,2010,340:467.
[9] Jongen JCF,Ramos LMP.Direction of flow in posterior communicating artery on magnetic resonance angiography in patients with occipital lobe infarcts[J].Stroke,2004,35(1):104-108.
[10] He J,Klag MJ,Wu Z,et al.Stroke in the People's Republic of China.I.Geographic variations in incidence and risk factors[J].Stroke, 1995,26(12):2222-2227.[11 ] Van Overbeeke JJ,Hillen B,Tulleken CA.Acomparative study of the circle of will fetal and adult life the configuration of the posterior bifurcation of the posterior communicating artery[J].J Anat,1991,176:45-54.
[12] Shaban A,Albright KC,Boehme AK,et al.Circle of Willis Variants:Fetal PCA[J].Stroke Research and Treatment,2013,20:105937.
[13] Van Raamt AF,Mali WP,Van Laar PJ,et al.The fetal variant of the circle of Willis and its influence on the cerebral collateral circulation[J].Cerebrovas Dis,2006,22:217-224.
[14] Emmert K,Zoller D,Preti MG,et al.Influence of vascular variant of the posterior cerebral artery(pca)on cerebral blood flow,vascular response to CO2 and static functional connectivity[J].PLoS One,2016,11(8):e161121.
[15] 习闰俊,常 嵘,李伟旺,等.大脑中动脉重度狭窄侧枝循环对脑梗死发病机制及NIHSS评分的影响[J].陕西医学杂志,2017,46(12):1636-1637.
[16] 苏敬敬,陶晓晓,舒 良,等.胚胎型大脑后动脉与脑白质病之间的关系[J].现代生物医学进展,2015,15(24):4738-4741.
[17] Saba L,Raz E,Fatterpekar G,et al.Correlation between leukoaraiosis volume and circle of willis variants[J].J Neuroimaging,2015,25(2):226-231.
[18] Arjal RK,Zhu T,Zhou Y.The study of fetal-type posterior cerebral circulation on multislice CT angiography and its influence on cerebral ischemic strokes[J].Clin Imaging,2014,38:221-225.
[19] Jongen JC,Franke CL,Ramos LM,et al.Direction of flow in posterior communicating artery on magnetic resonance angiogxaphy in patients with occipital lobe infarcts[J].Stroke,2004,35:104-108.

相似文献/References:

[1]赵远方,康晓刚.高压氧方案治疗急性脑梗死研究进展[J].陕西医学杂志,2023,52(7):938.[doi:DOI:10.3969/j.issn.1000-7377.2023.07.037]
　ZHAO Yuanfang,KANG Xiaogang.Application progress of hyperbaric oxygen protocol in patients with acute cerebral infarction[J].,2023,52(1):938.[doi:DOI:10.3969/j.issn.1000-7377.2023.07.037]

备注/Memo

备注/Memo:
基金项目:陕西省科技统筹创新工程计划项目(S2016TLSF0014)
更新日期/Last Update: 2021-01-05