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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Association of Ultrasonography and MRI Findings with Stroke Recurrence: Differences Between Patients with Past Histories of Atherothrombotic Versus Lacunar Infarctions
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Association of Ultrasonography and MRI Findings with Stroke Recurrence: Differences Between Patients with Past Histories of Atherothrombotic Versus Lacunar Infarctions

机译：超声检查与MRI调查结果与中风复发：过去历史血栓性血液血肿患者患者之间的差异

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Objective: This study investigated the association of MRI and ultrasonography findings with stroke recurrence in patients with past histories of atherothrombotic infarctions (ATIs) or lacunar infarctions (LIs). Methods: We prospectively analyzed the incidence of stroke recurrence. Deep and lobar cerebral microbleeds (MBs), asymptomatic lacunae, asymptomatic intracerebral hemorrhages (ICHs), severe white matter lesions (WML), and intima-media thickness (IMT) were investigated on enrollment. Stroke recurrence rates were compared by using the log-rank test. The odds ratios for recurrent strokes were derived using multivariate logistic regression models, adjusted for risk factors. Results: We evaluated the stroke recurrence rate in 362 ATI patients and 309 LI patients. The log-rank test and multivariate analyses revealed that the incidence of recurrent stroke was significantly higher in ATI patients with mean IMT greater than or equal to 1.1 mm, asymptomatic ICHs, or lobar MBs than in those without. The incidence was significantly higher in LI patients with asymptomatic ICHs, asymptomatic LIs, and severe WMLs than in those without. In ATI patients, those with strictly lobar MBs or mixed MBs (deep and lobar MBs) had significantly higher recurrence rates than those without MB. In LI patients, those with strictly deep MBs or mixed MBs had higher recurrence rates than those without MB, and the incidences of those with mixed MBs was larger than those with strictly deep MBs. Conclusions: There were differences between ATI and LI patients in terms of the association of MRI and ultrasonography findings, in particularly strictly lobar or deep MBs, with the incidence of stroke recurrence.
机译：目的：这项研究调查了患者的动脉粥样硬化过去梗死（ATIS）或腔隙性梗死（LIS）的历史MRI和超声检查结果与卒中复发的关联。方法：我们前瞻性分析卒中复发率。深和叶脑微出血（MBS），无症状空白的，无症状的脑出血（发生ICH），严重的白质病变（WML），和内膜中层厚度（IMT）上登记进行了调查。卒中复发率通过对数秩检验。复发性中风的几率比采用多因素Logistic回归模型，根据风险调整因素的。结果：我们评估了362例ATI和309名LI患者中风复发率。对数秩检验和多变量分析表明，复发性中风的发生率是在ATI患者显著高于平均IMT大于或等于1.1毫米，无症状发生ICH，或肺叶的MB比那些没有。发病率为LI患者无症状发生ICH，无症状LIS和严重WMLs比那些没有显著较高。在ATI的患者，那些严格叶的MB或混合的MB（深和叶MBS）有显著较高的复发率比那些没有MB。在李的患者，那些严格深的MB或混合的MB有较高的复发率比那些没有MB，和那些混MB的发生率明显高于那些严格深MB的大。结论：有在MRI和超声检查结果的相关方面ATI和李患者之间的差异，特别是严格叶或深MBS，中风复发率。

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