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脑血管疾病中血管造影结果与临床病程及计算机断层扫描结果的关系

Angiographic findings in relation to clinical course and results of computed tomography in cerebrovascular disease.

作者信息

Goldenberg G, Reisner T

出版信息

Eur Neurol. 1983;22(2):124-30. doi: 10.1159/000115548.

Abstract

Clinical course, results of angiography and computerized tomography (CT) were compared in 204 patients with focal cerebral ischemias. The extent and the importance of the radiological results depend on the localization of the affected area, whereby essential differences exist between extra- and intracranial arteries as well as between the vertebrobasilar and the carotid arterial flow region. As to the carotid arterial system there appear to be significant correlations between the size of the infarction on the CT and the extent of the vessel stenosis on angiography. Furthermore the likelihood of deficit recovery is inversely proportional to the degree of pathology seen in both radiologic examinations. It is discussed whether these correlations, obtained from the examination of a great number of patients, can help to evaluate the significance of equivocal angiographic findings in individual cases.

摘要

对204例局灶性脑缺血患者的临床病程、血管造影结果和计算机断层扫描(CT)结果进行了比较。放射学结果的范围和重要性取决于受累区域的定位,颅外和颅内动脉之间以及椎基底动脉和颈动脉血流区域之间存在本质差异。对于颈动脉系统,CT上梗死灶的大小与血管造影上血管狭窄的程度之间似乎存在显著相关性。此外,功能缺损恢复的可能性与两种放射学检查中所见的病变程度成反比。讨论了从大量患者检查中获得的这些相关性是否有助于评估个别病例中模棱两可的血管造影结果的意义。

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