TIA患者彌散加權(quán)成像及預(yù)后觀察.pdf

1、Y1055176分類號：R5單位代碼：10343學(xué)號：20032009穆濕州嚼訾院在職申請碩士學(xué)位論文論文題目TIA患者彌散加權(quán)成像及預(yù)后觀察研究生姓名：學(xué)科專業(yè)：指導(dǎo)教師：李浩軍神經(jīng)病學(xué)劉振國教授二OO七年五月溫州醫(yī)學(xué)院碩士學(xué)位論文英文摘要DetectionofDiffusionWeightedMRIandobservationofprognosisinpatientswithTransientIschemicAttackAbstra

2、ct：ObjectiveWiththedevelopmentandutilizationoftheimagingtechnology，itisobservedthatinpatientswithtransientischemicattack“IA)，sometransientepisodesareassociatedwithischemiclesionsonbrainimagingTheobjectiveofthestudyistoev

3、aluateDWlinpatientswithTIAMethodsAprospectiveanalysiswasperformedona11patientswhowereclinicallydiagnosedwithaTIATheimaging，clinicalandfollowupdataof61patientswerethenanalyzedResultsTherewere17patientswithischemiclesionso

4、nbrainimaging(27996)，DWI—detectedabnormalitieswerepresentin16of59patients(271％)AveragelastingtimeofTIAwas67minutesand84％ofthosewhosesymptomslastlessthan1houraverageepisodesofTIRWaS3and69％ofthosewhoseepisodeswere43Patient

5、swithpositiveDWIscanshadasignificantlylongernumberofepisodesthanwithnegativeDWlscans，andtherewasnelativitybetweentime(includingdurationofsymptomsandaccumulativetotal)andthegroupofDWI()andDWI(一)AstheepisodesofTIAincreased

6、，themorefrequentlytheselesionsonDWlweredetectedThecomparisonbetweenthegroupofDWI()andDWI(一)withaphasia(OR=63)，motordeficits(0R=244)Noofepisodes3(OR=116)hadstatisticssignificance(PO05)Theincidenceofvariouskindsofseverevas

7、e—eventswas164％inthreemonthsparticularlyneartotheepisode(49％at7day)ThecomparisonofprognosisbetweenthegroupDWI()andUWI(一)hadstatisticsignificance(pO001)，andtherelativitybetweentheprognosisofTIAanddiabetesmellitus(OR=76)ha