应用64排螺旋CTA超早期诊断基底动脉尖综合征的临床研究

目的 观察64排螺旋全身血管成像检查(CTA)超早期诊断基底动脉尖综合征的临床价值。方法 选取2017年1月～2019年1月到我院接受治疗的80例基底动脉尖综合征患者,随机分为检查组和对照组,每组40例,两组病例入院后均立即行64排螺旋头颅CT检查,检查组同时进行CTA检查,分析CTA诊断结果,结合检查结果给予对应治疗,对比两组患者治疗前后NIHSS评分及ADL评分,随访患者病死率。结果 CTA诊断结果显示,40例基底动脉尖综合征中基底动脉狭窄占比最高,为62.5%(25/40),其次为基底动脉瘤,占15.0%(6/40);两组间神经功能缺损程度评分(NIHSS)、日常生活活动评分(ADL)对比,治疗前无差异,治疗后检查组明显改善,差异有统计学意义(P0.05);检查组死亡率为5.0%低于对照组的12.5%,差异有统计学意义(P0.05)。结论 64排螺旋CTA能够检出早期基底动脉尖综合征,为早期发现病灶并及时治疗提供参考,有利于提升患者预后,具有较高诊断价值。

Clinical study on 64-row spiral CTA for ultra-early diagnosis of basilar artery top syndrome

Objective To observe the clinical value of 64-row spiral whole-body angiography(CTA) for ultra-early diagnosis of basilar artery top syndrome. Methods From January 2017 to January 2019, 80 patients with basal artery top syndrome who were treated in our hospital were randomly divided into examination group and control group, with 40 cases in each group. Both groups of patients were given 64-row spiral cranial CT examination immediately after admission. The examination group was also given CTA examination. The diagnosis results of CTA was analyzed. Combined with the exam results, the corresponding treatment was provided. The NIHSS score and ADL scores before and after treatment were compared between the two groups, and the mortality rate of the patients was followed up. Results The diagnosis results of CTA showed that basilar artery stenosis accounted for the highest proportion[62.5%(25/40)] among the 40 cases of basilar artery top syndrome, followed by the basilar aneurysm, accounting for 15.0%(6/40). There was no difference between the two groups in the scores of neurological deficit(NIHSS) and daily activity scores(ADL) before treatment. After treatment, the examination group was improved significantly, the difference was statistically significant(P<0.05).The mortality rate of the examination group was 5.0%lower than that of the control group(12.5%),and the difference was statistically significant(P<0.05). Conclusion 64-slice spiral CTA can detect early basilar artery top syndrome,provide a reference for early detection of lesions and timely treatment, which is beneficial to improving the prognosis of patients and has a higher diagnostic value.