Li H Y, Duan Y, Yang B Q, Chang C C, Liu N, Zhang L X, Lin S
Department of Radiology, the General Hospital of Shenyang Military Region, Shenyang 110016, China.
Zhonghua Yi Xue Za Zhi. 2017 Jul 4;97(25):1956-1959. doi: 10.3760/cma.j.issn.0376-2491.2017.25.008.
To investigate the relativity between the distribution of deep medullary vein (DMV) in patients with middle cerebral artery stroke and clinical prognosis by using susceptibility-weighted imaging (SWI). A total of 144 cases of middle cerebral artery stroke patients and 55 healthy volunteers were retrospectively analyzed from January 2015 to October 2015 in order to investigate the symmetrical characteristic and the classification of DMV, then 30 cases were followed up. test was used to consider the consistency of judging DMV symmetry and type data by two radiologists. value in DMV symmetry and DMV type were 0.875 and 0.852. - test analysis revealed a statistically significant difference of DMV symmetry between healthy control and stroke group(χ(2)=31.046, =0.000). There was correlation between DMV type and NIHSS score in stroke group ((s)=0.208, =0.025). There was no statistically significant difference of DMV distribution in the different periods of stroke group (=0.110). But there was statistically significant difference of DMV distribution between acute and chronic stroke (=0.018). Among 30 follow-up cases, 18 cases with asymmetry DMV changed into symmetry after stroke therapy. In 8 cases with symmetry DMV, the diameter of DMV became smaller after treatment. In 4 cases, DMV had no changes. DMV in patients of MCA stroke are mostly asymmetry distribution. DMV classification can be used as an imaging standard to predict the prognosis of stroke patients.
采用磁敏感加权成像(SWI)研究大脑中动脉卒中患者深部髓静脉(DMV)分布与临床预后的相关性。回顾性分析2015年1月至2015年10月共144例大脑中动脉卒中患者及55例健康志愿者,以研究DMV的对称特征及分类,随后对30例患者进行随访。采用检验来考量两位放射科医生判断DMV对称性及类型数据的一致性。DMV对称性及DMV类型的κ值分别为0.875和0.852。χ²检验分析显示健康对照组与卒中组DMV对称性存在统计学显著差异(χ(2)=31.046,P =0.000)。卒中组DMV类型与美国国立卫生研究院卒中量表(NIHSS)评分存在相关性(r(s)=0.208,P =0.025)。卒中组不同病程阶段DMV分布无统计学显著差异(P =0.110)。但急性与慢性卒中患者DMV分布存在统计学显著差异(P =0.018)。在30例随访病例中,18例DMV不对称的患者经卒中治疗后变为对称。8例DMV对称的患者治疗后DMV直径变小。4例患者DMV无变化。大脑中动脉卒中患者的DMV大多呈不对称分布。DMV分类可作为预测卒中患者预后的影像学标准。