韩国青少年脑血管病和中风。
Cerebrovascular disease and stroke in Korean male adolescent.
机构信息
Seoul Regional Military Manpower Administration, Seoul, Korea.
出版信息
Yonsei Med J. 2012 May;53(3):467-76. doi: 10.3349/ymj.2012.53.3.467.
PURPOSE
This study aimed to estimate the prevalence and incidence of cerebrovascular disease (CVD) and stroke in Korean male adolescents.
MATERIALS AND METHODS
The authors reviewed all medical certificates, medical records, and radiologic images from the examinations of Korean military conscription from January 2008 to May 2011.
RESULTS
Of the 101,156 examinees, 40 had CVD and stroke during adolescence. The overall prevalence and incidence of CVD and stroke was 39.54 cases per 100,000 adolescents and 2.08 cases per 100,000 adolescents per year, respectively and these were similar to the worldwide data. There were 3 cases of aneurysm, 3 cases of dural arteriovenous fistula, 11 cases of arteriovenous malformation, 4 cases of cavernous hemangioma, 4 cases of cerebrovascular infarction, 16 cases of Moyamoya disease, and 1 case of missing data. The incidence of arteriovenous malformation (0.57 cases per 100,000 adolescents per year) was lower than the incidence for the worldwide general population. The incidence of Moyamoya disease was higher than that in any other country (15.82 cases per 100,000 adolescents, vs. 0.83 cases per 100,000 adolescents per year).
CONCLUSION
We observed ischemic and hemorrhagic stroke, each accounting for approximately half of cases, and high incidence of Moyamoya disease with low incidence of arteriovenous malformation in Korean male adolescents.
目的
本研究旨在估计韩国男性青少年脑血管疾病（CVD）和中风的患病率和发病率。
材料和方法
作者回顾了 2008 年 1 月至 2011 年 5 月韩国兵役体检的所有医疗证明、病历和影像学图像。
结果
在 101156 名受检者中，有 40 人在青少年时期患有 CVD 和中风。CVD 和中风的总患病率和发病率分别为每 10 万名青少年 39.54 例和 2.08 例/10 万名青少年/年，与全球数据相似。有 3 例动脉瘤，3 例硬脑膜动静脉瘘，11 例动静脉畸形，4 例海绵状血管瘤，4 例脑血管梗死，16 例烟雾病，1 例数据缺失。动静脉畸形的发病率（0.57 例/10 万名青少年/年）低于全球普通人群的发病率。烟雾病的发病率高于其他任何国家（每 10 万名青少年 15.82 例，而每年每 10 万名青少年 0.83 例）。
结论
我们观察到缺血性和出血性中风，各占病例的一半左右，以及韩国男性青少年中烟雾病发病率高，动静脉畸形发病率低。
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