·21CHINESEJOURNALOFCTANDMRI,FEB.2023,Vol.21,No.02TotalNo.160【第一作者】王瑞，男，主治医师，主要研究方向：神经影像方面。E-mail：krosdaks@163.com【通讯作者】缪正飞，男，主管技师，主要研究方向：神经影像方面。E-mail：704299220@qq.com论著TheDifferenceofNeuroimagingandPrognosisofAcuteIschemicStrokebetweenDifferentGenders*WANGRui1,PENGMing-yang2,ZHOUXing-fan2,CHENGuo-zhong2,MIAOZheng-fei2,*.1.DepartmentofRadiology,NanjingIntegratedTraditionalChineseAndWesternMedicineHospital,Nanjing210000,Jiangsuprovince,China2.DepartmentofRadiology,NanjingFirstHospital,NanjingMedicalUniversity,Nanjing210006,Jiangsuprovince,ChinaABSTRACTObjectiveToexplorethedifferenceofneuroimagingandprognosisofacuteischemicstrokebetweendifferentgenders.Methods200acuteanteriorstrokepatientsinourhospitalwereretrospectivelyenrolled.Allpatientsunderwentmulti-modeMRIexaminationbeforetherapy.Patientsweredividedintointravenousthrombolysisgroupandarterialthrombectomygroup.Theclinicaldataandneuroimagingdatawerecollected,andtheoutcomeaftertherapyfunctionaloutcomeat3months(mRS)wereevaluated.Statisticalanalysiswasperformedtocomparethedifferenceofneuroimagingandprognosisofacuteischemicstrokebetweendifferentgenders.ResultsOfthe200patientsunderwentintravenousthrombolysis,Tmax>6svolume(65.48±32.15vs89.13±34.77;t=9.431,P=0.036),PWI/DWImismatchvolume(57.14±23.95vs77.12±36.73;t=7.569,P=0.044)andHIR(0.33±0.32vs0.37±0.31;t=8.274,P=0.044)inthefemalegroup(n=50)weresignificantlysmallerthanthatinmalegroup(n=50);andtheoutcomeat3monthsinfemalegroupwasbetterthanthatinthemalegroup(72.00%vs48.00%;χ2=6.000,P=0.024).Similartotheintravenousthrombolysis,Tmax>6svolume(109.35±27.49vs127.16±21.55;t=4.431,P=0.041),PWI/DWImismatchvolume(75.31±25.14vs90.19±20.48;t=6.993,P=0.039)andHIR(0.29±0.22vs0.40±0.34;t=7.530,P=0.029)inthefemalegroup(n=50)ofarterialthrombectomygroupweresignificantlysmallerthanthatinmalegroup(n=50);andtheoutcomeat3monthsinfemalegroupwasbetterthanthatinthemalegroup(64.00%vs42.00%;χ2=4.857,P=0.045).Conclusio...
