摘要
目的探讨未接受再灌注治疗的急性脑梗死患者磁敏感加权成像(susceptibility weighted imaging,SWI)序列中磁敏感血管征(susceptibility vessel sign,SVS)对其临床预后的评估价值。方法选取2018年7月-2019年5月本院收治的的急性脑梗死36患者作为研究对象,于发病5天内完成相关影像学检查。根据SWI中有无SVS,分为SVS阳性组(20例)与SVS阴性组(16例)两组,运用统计学方法对两组患者进行一般临床资料、病情严重程度以及临床预后的比较。结果 SVS阴性组合并高血压的比例更高(87.5%对50.0%,P=0.018)。与SVS阴性组相比,SVS阳性组入院时美国国立卫生研究院卒中量表(the National Institutes of Health Stroke Scale,NIHSS)评分更高,近期预后及远期预后均较差(均P<0.05)。结论对于未接受再灌注治疗的急性脑梗死患者,SVS阳性意味着患者病情重,预后不佳。
Objective The aim of this study was to evaluate the predictive value of susceptibility vessel sign(SVS) from the susceptibility weighted imaging(SWI) sequence for acute cerebral infarction patients without reperfusion therapy. Methods A total of 36 patients with acute ischemic stroke admitted to our hospital during July 2018 and March 2019 were included in our study, they underwent multimodal magnetic resonance imaging within 5 days.According to the presence of SVS or not, patients were divided into SVS positive group(20) and SVS negative group(16). The general clinical data, severity of illness and clinical outcomes of the two groups were compared.Results The proportion of hypertension in patients without SVS was higher(87.5% vs 50.0%,P=0.018).The score of national institutes of health stroke scale(NIHSS) in patients with SVS was higher than that without SVS, short-term and long-term prognosis of SVS positive group was relatively worse(all P>0.05).Conclusions For patients with acute cerebral infarction didn’t receive reperfusion therapy, the presence of SVS indicates more severe clinical status and poor clinical outcome.
作者
孙植培
骆嵩
钱伟东
SUN Zhi-pei(Department of neurology,the first affiliated hospital of Bengbu Medical College,Bengbu,Anhui,233000,China)
出处
《齐齐哈尔医学院学报》
2020年第2期158-161,共4页
Journal of Qiqihar Medical University
基金
蚌埠医学院研究生科研创新计划资助项目(Byycxz1831)
蚌埠医学院第一附属医院2019年度院领先新技术项目(2019091)
蚌埠医学院2016年度自然科学基金面上项目(BYKY1673)。
关键词
急性脑梗死
磁敏感加权成像
磁敏感血管征
临床预后
Acute cerebral infarction
Susceptibility weighted imaging
Susceptibility vessel sign
Clinical outcome
