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目的探讨脑白质疏松症的影像学诊断。方法对我院于2009年5-9月收治的191例脑白质疏松症患者及410例非脑白质疏松症患者调查其年龄、性别、高血压、高血脂、高血糖等病史及有无伴发脑梗塞、脑萎缩,并观察其临床症状。结果在全部脑白质疏松症患者中,男性占59%,女性占41%,伴有脑梗塞者占90%,伴有脑萎缩者占52%,有高血压病史者占85%,高血脂病史者占28%,高血糖病史者占12%。结论多因素Logistic回归分析显示,年龄、高血压、高血脂、高血糖是脑白质疏松症发生的危险因素,且脑白质疏松症患者多伴有脑梗塞及脑萎缩。
Objective To investigate the imaging diagnosis of leukoaraiosis. Methods A total of 191 cases of leukoaraiosis and 410 cases of non-leukoaraiosis in our hospital from May to September in 2009 were investigated for their age, gender, hypertension, hyperlipidemia, hyperglycemia, Cerebral infarction, brain atrophy, and observe its clinical symptoms. Results In all leukoaraiosis patients, 59% were male, 41% were female, 90% were associated with cerebral infarction, 52% were associated with brain atrophy, 85% had a history of hypertension, and a history of hyperlipidemia 28%, history of high blood sugar accounted for 12%. Conclusion Multivariate Logistic regression analysis showed that age, hypertension, hyperlipidemia and hyperglycemia were the risk factors for the development of leukoaraiosis. And most patients with leukoaraiosis had cerebral infarction and brain atrophy.