Bartynowska Karolina
Zaktad Diagnostyki Obrazowej, Szpitala Uniwersyteckiego w Krakowie.
Przegl Lek. 2013;70(5):339-43.
The aim of this work was to establish the correlation between volume of ischemic zone in CT examination and neurological and functional (Barthel index) disorders after cerebral ischemia. The retrospective study was performed. The 30 patients (the median age was 73 years; 14 woman and 16 man) were examined. The medial cerebral artery stroke was recognised in CT. CT examinations without contrast media injection, neurological and functional (Barthel index) diagnostic tests were performed directly and 18 months after ischemia. The evolution of ischemic zone in CT and neurological and functional disorders were estimated. The correlation between volume of ischemic zone in CT, neurological parameters and Barthel index results was examined. The statistical correlation between ischemic zone volumetry and physiological reactions was ascertained. In acute phase the greater volume of ischemic zone responds to neurological dysfunctions. The same tendency, without statistical significance, was observed between volume of ischemic zone and Barthel index result (inversely proportional). 18 months after cerebral stroke the statistical correlation was significant only for comparison of volume of the ischemic zone and Barthel index result. The greater volume of ischemic zone responded to lower Barthel index. Ischemic stroke volumetry in CT examination can facilitate neurological (physiological reactions disorders) and functional (Barthel index) status assessment.
这项工作的目的是确定CT检查中缺血区体积与脑缺血后神经功能和功能（巴氏指数）障碍之间的相关性。进行了回顾性研究。对30例患者（中位年龄73岁；14名女性和16名男性）进行了检查。在CT上识别出大脑中动脉卒中。在缺血后直接以及18个月后进行了未注射造影剂的CT检查、神经功能和功能（巴氏指数）诊断测试。评估了CT中缺血区的演变以及神经功能和功能障碍。检查了CT中缺血区体积、神经学参数和巴氏指数结果之间的相关性。确定了缺血区容积测量与生理反应之间的统计相关性。在急性期，较大体积的缺血区与神经功能障碍相关。在缺血区体积和巴氏指数结果之间观察到相同趋势，但无统计学意义（呈反比）。脑卒中后18个月，仅在缺血区体积与巴氏指数结果的比较中，统计相关性具有显著性。缺血区体积越大，巴氏指数越低。CT检查中的缺血性卒中容积测量有助于评估神经功能（生理反应障碍）和功能（巴氏指数）状态。
