[1]高根善 张自力 卢祖能.高分辨磁共振成像在脑桥旁正中梗死患者中的诊断价值[J].卒中与神经疾病杂志,2020,27(02):171-174.[doi:10.3969/j.issn.1007-0478.2020.02.006]
　Gao Genshan*,Zhang Zili,Lu Zuneng..Diagnosis value of high-resolution magnetic resonance imaging in patients with paramedian pontine infarction[J].Stroke and Nervous Diseases,2020,27(02):171-174.[doi:10.3969/j.issn.1007-0478.2020.02.006]
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高分辨磁共振成像在脑桥旁正中梗死患者中的诊断价值()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第27卷
期数:
2020年02期
页码:
171-174
栏目:
论 著
出版日期:
2020-03-15

文章信息/Info

Title:
Diagnosis value of high-resolution magnetic resonance imaging in patients with paramedian pontine infarction
文章编号:
1007-0478(2020)02-0171-04
作者:
高根善 张自力 卢祖能
442000 十堰市人民医院(湖北医药学院附属人民医院)神经内科(高根善),放射科(张自力); 武汉大学人民医院神经内科[卢祖能(通信作者)]
Author(s):
Gao Genshan*;  Zhang Zili;  Lu Zuneng.
*Department of Neurology, Renmin Hospital, Hubei University of Medicine, Shiyan Hubei 442000
关键词:
脑桥旁正中梗死 基底动脉 磁共振血管成像 高分辨磁共振成像
Keywords:
Paramedian pontine infarction Basilar artery Magnetic resonance angiography High-resolution magnetic resonance imaging
分类号:
R743.3
DOI:
10.3969/j.issn.1007-0478.2020.02.006
文献标志码:
A
摘要:
目的 探讨高分辨磁共振成像(high resolution magnetic resonance imaging, HRMRI)在脑桥旁正中梗死(paramedian pontine infarction,PPI)患者中的诊断价值。方法 连续收集经磁共振证实的PPI患者32例,全部行磁共振血管成像(magnetic resonance angiography, MRA)和HRMRI检查,利用HRMRI分析动脉粥样硬化斑块在基底动脉(basilar artery, BA)的分布位置,比较MRA与HRMRI识别BA狭窄能力的差异。结果 MRA检查显示BA狭窄者11例(34.4%),HRMRI 显示BA狭窄者27例(84.4%)(P<0.01)。HRMRI显示BA狭窄的27例患者,其粥样硬化斑块位于梗死病灶同侧25例(92.6%)、对侧2例(7.4%)。结论 HRMRI在诊断BA狭窄方面可信度较高; 脑桥旁正中梗死患者BA粥样硬化斑块大多分布在梗死病灶同侧
Abstract:
ObjectiveTo investigate the diagnosis application value of high-resolution magnetic resonance imaging(HRMRI)in patients with paramedian pontine infarction.Methods Thirty-two patients with paramedian pontine infarction conformed by MRI were recruited and observed using magnetic resonance angiography(MRA)and HRMRI respectively. The distributions of atherosclerotic plaque in the basilar artery(BA)were assessed by HRMRI, and the differences of the ability to evaluate BA stenosis between MRA and HRMRI were compared.Results Included in this study were 32 patients with paramedian pontine infarction, BA stenosis were detected in 11 patients by MRA imaging(34.4%), BA stenosis were detected in 27 patients by HRMRI(84.4%), there were significant statistically differences(P<0.01)between them. In the 27 patients with BA stenosis revealed by HRMRI, the basilar artery plaque were mostly distributed in the ipsilateral of infarction(92.6%),only two of twenty-seven located in the contralateral(7.4%).Conclusion HRMRI was more accurate to detect based artery stenosis compared with MRA imaging. BA plaques tended to distributed in the ipsilateral paramedian pontine infarction

参考文献/References:

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备注/Memo

备注/Memo:
(2019-10-12收稿)
更新日期/Last Update: 2020-03-15