孟祥;邵福明;宋传顺;张艳辉;郭栋;代斌;李晨晨;彭彬;邵艳;曹银平;

• 1:商丘市中心医院
• 2:商丘医学高等专科学校

摘要(Abstract)：

目的探讨磁共振成像(MRI)+CT血管造影(CTA)评估基底动脉脑桥水平直径、两侧椎动脉直径比、钙化灶直径与基底动脉发育不全(BAH)患者眩晕程度的关系及预测后循环梗死的效能。方法选取2017-05—2020-03商丘市中心医院收治的70例BAH后循环梗死患者(观察组)及70例单纯BAH患者(对照组),比较2组一般资料、眩晕程度、MRI+CTA参数(基底动脉脑桥水平直径、两侧椎动脉直径比、钙化灶直径),采用Spearman分析MRI+CTA参数与眩晕程度的关系,采用Logistic回归方程分析BAH后循环梗死的影响因素,并比较观察组不同预后患者MRI+CTA参数,采用受试者工作特征曲线(ROC)分析MRI+CTA参数预测后循环梗死及预后的效能。结果 2组高脂血症、糖尿病、高血压患者占比及眩晕程度比较,差异有统计学意义(P<0.05);观察组基底动脉脑桥水平直径低于对照组,两侧椎动脉直径比、钙化灶直径高于对照组(P<0.05);基底动脉脑桥水平直径与眩晕程度呈负相关,两侧椎动脉直径比、钙化灶直径与眩晕程度呈正相关(P<0.05);高脂血症、糖尿病、高血压、眩晕程度、基底动脉脑桥水平直径、两侧椎动脉直径比、钙化灶直径均与BAH后循环梗死显著相关(P<0.05);基底动脉脑桥水平直径、两侧椎动脉直径比、钙化灶直径参数值联合检测预测后循环梗死的AUC值为0.876,预测后循环梗死预后的AUC值为0.917,均大于任一参数值单独检测。结论 MRI联合CTA检查可通过评价基底动脉发育情况为临床诊断BAH患者眩晕程度、预测后循环梗死风险及预后病情转归提供参考,便于临床早期完善治疗方案,改善预后。

关键词(KeyWords)： 磁共振成像;CT血管造影;钙化灶直径;基底动脉发育不全;受试者工作特征曲线;眩晕程度

Abstract:

Keywords:

基金项目(Foundation): 河南省高等学校重点科研项目(编号:15B320008)

作者(Authors): 孟祥;邵福明;宋传顺;张艳辉;郭栋;代斌;李晨晨;彭彬;邵艳;曹银平;

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