论文部分内容阅读
目的:通过对脑分水岭梗死进行分类、分层研究,了解脑分水岭梗死的血管狭窄对预后的影响。方法:对我院同期收治的脑分水岭梗死患者进行回顾性比较研究。分类:皮质脑分水岭梗死与皮质下脑分水岭梗死;分层:按无血管狭窄、轻、中、重度血管狭窄分层。结果:在95例患者中,皮质脑分水岭梗死脑血管及预后情况:无血管狭窄15例(预后不好1例,预后好14例)、轻度血管狭窄13例(预后不好1例,预后好12例)、中度血管狭窄13例(预后不好3例,预后好10例)、重度血管狭窄13例(预后不好6例,预后好7例);皮质下脑分水岭梗死脑血管及预后情况:无血管狭窄10例(预后不好1例,预后好9例)、轻度血管狭窄10例(预后不好3例,预后好7例)、中度血管狭窄11例(预后不好4例,预后好7例)、重度血管狭窄10例(预后不好8例,预后好2例)。血管狭窄与不良预后关系:不同血管狭窄程度分层X2=18.411,p=0.001(C-CWSIX2=8.204,p=0.042;S-CWSIX2=11.699,p=0.008),不同血管狭窄程度分层影响预后。结论:颅内外血管狭窄与脑分水岭梗死预后有关,不同类型的分水岭梗死有区别,临床上应该进行分层评估血管情况,判断预后。
OBJECTIVE: To classify and stratify brain watershed infarctions and investigate the influence of cerebral stenosis on the prognosis of cerebral infarction. Methods: A retrospective comparative study of patients with brain watershed infarction treated in our hospital at the same period. Category: cortical brain watershed infarction and subcortical cerebral watershed infarction; stratification: according to vascular stenosis, light, moderate and severe vascular stenosis. Results: Cerebral vessels and prognosis of cortical brain watershed infarction in 95 patients were 15 cases without vascular stenosis (1 case with poor prognosis and 14 cases with good prognosis), 13 cases with mild vascular stenosis (1 case with poor prognosis, 1 case with poor prognosis 12 cases of moderate vascular stenosis (3 cases with poor prognosis, 10 cases with good prognosis), 13 cases with severe vascular stenosis (6 cases with poor prognosis and 7 cases with good prognosis) Prognosis: No vascular stenosis in 10 cases (poor prognosis in 1 case, good prognosis in 9 cases), mild vascular stenosis in 10 cases (poor prognosis in 3 cases, good prognosis in 7 cases), moderate vascular stenosis in 11 cases (poor prognosis 4 cases, good prognosis in 7 cases), severe vascular stenosis in 10 cases (poor prognosis in 8 cases, good prognosis in 2 cases). The relationship between vascular stenosis and poor prognosis: The degree of vascular stenosis stratified X2 = 18.411, p = 0.001 (C-CWSIX2 = 8.204, p = 0.042; S-CWSIX2 = 11.699, p = 0.008) . Conclusion: The extracranial and extracranial vascular stenosis is related to the prognosis of cerebral watershed infarction. There are differences between the different types of watershed infarction. Clinically, the blood vessel status should be stratified and the prognosis should be judged.