曹杰 杨志宏 曹家驹 吴云 钟美花

    【摘要】 目的：研究3.0T磁共振血管壁成像技术(MR-VWI)在缺血性脑卒中(CIS)颅内动脉斑块的诊断价值。方法：回顾性分析2018年1月-2020年6月本院收治的62例CIS患者临床资料，均行颅内动脉MR-VWI检查，按斑块与缺血区责任动脉关系划分为责任动脉斑块组、非责任动脉斑块组。分析责任及非责任动脉斑块MR-VWI特征。结果：62例患者中共存在248处斑块，其中责任动脉斑块与非责任动脉斑块分别为87处(35.08%)、161处(64.92%)。责任斑块与非责任动脉斑块的管腔狭窄程度、斑块位置及强化情况比较，差异均有统计学意义(P0.05)。责任斑块组管腔狭窄以0.05). In the responsible plaque group， lumen stenosis was less than 50%， and the middle cerebral artery and basilar artery were the most common plaque locations. Conclusion： 3.0T MR-VWI has a good effect on CIS， which can determine the degree of intracranial arterial plaque enhancement and evaluate the risk factors of disease， which is worthy of promotion and application.

    [Key words] Cerebral ischemic stroke Intracranial arterial plaque 3.0T MR vessel wall imaging ......