脊椎动脉和前脊柱动脉在部面部脱位中的阻塞:使用计算机断层扫描血管学的一项前性研究
1Department of Orthopedics, Xinqiao Hospital, Army Medical University, Chongqing, 400037, China. zhangz3@126.com.
Spinal cord series and cases
|July 23, 2024
概括
脊椎动脉 (VA) 堵塞影响大约24%的宫面部脱. 前脊柱动脉 (ASA) 堵塞在这些情况下不会发生,即使有VA参与,防止症状性缺血.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 宫面部脱可能会损害脊髓血液供应.
- 脊椎动脉 (VA) 和前脊髓动脉 (ASA) 的通透性对神经功能至关重要.
研究的目的:
- 为了确定宫面位位移中VA阻塞的发生率.
- 调查这些损伤中是否存在ASA.
- 为了将血管发现与临床结果相关联.
主要方法:
- 预计将招募21名宫侧面脱的患者.
- 计算机断层扫描血管造影 (CTA) 用于评估VA,前根骨髓动脉 (ARA) 和ASA.
- 收集了临床数据,包括神经状态 (ASIA级) 和脊基性缺血症的症状.
主要成果:
- 在24%的患者中观察到单侧VA闭塞 (5/21).
- 没有发现ASA封闭的病例,即使在VA封闭的患者中也是如此.
- 没有患者出现了症状的脊基性缺血症.
结论:
- 在大约四分之一的宫面位移中,VA阻塞是显著的发现.
- 无论VA状态如何,ASA仍然是宫侧面位移的专利.
- 尽管在这个队列中存在VA阻塞,但症状的脊椎基底性缺血症并不常见.
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