中国全科医学 ›› 2020, Vol. 23 ›› Issue (5): 516-524.DOI: 10.12114/j.issn.1007-9572.2019.00.305
楚宝1,2,张继杰1,2,董立朋2,何伟亮2,李俐涛2,王贺波1,2*
出版日期:
2020-02-15
发布日期:
2020-02-15
基金资助:
CHU Bao1,2,ZHANG Jijie1,2,DONG Lipeng2,HE Weiliang2,LI Litao2,WANG Hebo1,2*
Published:
2020-02-15
Online:
2020-02-15
摘要: 脑梗死是我国最常见的脑卒中类型,其发病率、病死致残率高。侧支循环是指连接相邻动脉群的细小动脉网络。侧支循环的建立和脑梗死患者预后密切相关。良好的侧支循环对于脑缺血发生后维持正常的脑灌注和脑血流,减少梗死面积和缺血半暗带至关重要。评价侧支循环的方法多种多样,包括经颅多普勒彩超(TCD)、CT血管造影(CTA)、CT灌注成像(CTP)、磁共振血管成像(MRA)、流体衰减恢复信号(FLAIR)、动脉自旋标记(ASL)、通透性影像、数字减影血管成像(DSA)等,尤以DSA为评价侧支循环公认的金标准。本文就近期多种脑血管侧支循环的评价方式的研究进展进行综述,发现多种评价方式各有利弊,临床一线医生应综合考虑患者病情,选择恰当的评价工具。
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