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关于皮质下梗塞的分类特别是腔隙梗塞的概念已争论了许多年,CT、MRI等影象技术的引入更加剧了这一争论。以前的分类基本上是根据局限的临床病理所作的临床分类,现今临床放射学关系已暴露出这一分类的弱点,尤其是许多不同的病变可表现为相同的综合征,许多病变可导致单纯运动性轻偏瘫就是最好的例证。文献提示有必要详细描叙皮质下梗塞分类的框架和命名,以便在进行发病机理、预后和治疗的研究时对病例的分组更准确。
The classification of subcortical infarcts, particularly the concept of lacunar infarcts, has been debated for many years, and the introduction of such imaging techniques as CT and MRI exacerbates the debate. The previous classification was basically based on the clinical classification of the limited clinical pathology. Today’s clinical radiological relationships have exposed the weakness of this classification, and in particular, many different lesions can present the same syndrome and many can lead to simple movements Light hemiparesis is the best example. The literature suggests that it is necessary to detail the framework and nomenclature of the classification of subcortical infarcts so that the grouping of cases is more accurate when studying the pathogenesis, prognosis and treatment.