ctp联合多时相cta在急性缺血性卒中侧支循环评估中的价值

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1、授予单位代码10089学号或申请号20153226中国图书分类号R743.32HebeiMedicalUniversity硕士学位论文专业学位CTP联合多时相CTA在急性缺血性卒中侧支循环评估中的价值研究生：张海宁导师：檀国军教授专业：神经病学二级学院：河北医科大学第二医院2018年3月目录中文摘要············································································································1英文

2、摘要············································································································2英文缩写············································································································4研究论文CTP联合多时相CTA在急性缺血性卒中侧支循环评估中的价值前言··

3、··········································································································5资料与方法································································································6结果··················································

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5、···············18讨论··········································································································22结论··········································································································27参考文献····················

6、··············································································28综述CTP、多时相CTA与急性缺血性卒中的侧支循环评估····················33致谢··················································································································42个人简历··········

7、································································································43中文摘要CTP联合多时相CTA在急性缺血性卒中侧支循环评估中的价值摘要目的：探索CTP联合多时相CTA(MP-CTA)在侧支循环评估中的临床应用价值。方法：收集43例急性缺血性卒中患者，均完成CTP及MP-CTA检查。用ASPECTS侧支评估法对侧支循环分级；定量分析CTP伪彩图，得到CBV、CBF、MTT、TTP，用“患侧

8、/健侧”得到rCBV、rCBF、rMTT、rTTP；用NASCET标准测定血管狭窄程度。结果：1.研究对象分布：43例均符合入组标准，但由于影像资料丢失及影像不合格等情况脱组12例，最后共计入组31例。依据侧支循环分级，分成侧支循环良好组20例，不良组11例。2.侧支循环和血流灌注评价：梗死核心区，良好的侧支循环水平与rCBV、rMTT、rTT