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三维数字减影血管造影对颅内动脉瘤的诊断价值
引用本文:汪求精,李铁林,段传志,陈建华,杨金成,方兵,何旭英,陈光忠,尹方明,徐如祥. 三维数字减影血管造影对颅内动脉瘤的诊断价值[J]. 中华神经医学杂志, 2005, 4(2): 152-154
作者姓名:汪求精  李铁林  段传志  陈建华  杨金成  方兵  何旭英  陈光忠  尹方明  徐如祥
作者单位:1. 510282,广州,南方医科大学珠江医院神经外科
2. 510282,广州,南方医科大学珠江医院介入中心
摘    要:目的探讨3D DSA在颅内动脉瘤诊断中的应用价值。方法对49例疑诊或确诊恼动脉瘤病例,在常规数字减影(2D DSA)的基础上,行3D DSA检查,并对其结果对比分析,结果49例中,经3D DSA证实共检出47例53个动脉瘤,与2D DSA相比,3D DSA能更准确地显示动脉瘤形态、瘤颈及其与载瘤动脉的关系,精确计算动脉瘤的瘤领,体大小,对微小或复杂动脉瘤的诊断亦明显优于2D DSA结论3D DSA可提供很多2D DSA不能提供的有价值信息,提高颅内动脉瘤诊断的准确性。

关 键 词:DSA检查 诊断价值 颅内动脉瘤 三维数字减影血管造影 载瘤动脉 检出 确诊 形态 大小
文章编号:1671-8925(2005)02-152-003
修稿时间:2004-07-02

Diagnostic value of three-dimensional digital subtraction angiography in intracranial aneurysms
WANG Qiu-jing,LI Tie-lin,DUAN Chuan-zhi,CHEN Jian-hua,YANG Jin-cheng,FANG Bing,HE Xu-ying,CHEN Guang-Zhong,YIN Fang-ming,XU Ru-xiang. Diagnostic value of three-dimensional digital subtraction angiography in intracranial aneurysms[J]. Chinese Journal of Neuromedicine, 2005, 4(2): 152-154
Authors:WANG Qiu-jing  LI Tie-lin  DUAN Chuan-zhi  CHEN Jian-hua  YANG Jin-cheng  FANG Bing  HE Xu-ying  CHEN Guang-Zhong  YIN Fang-ming  XU Ru-xiang
Abstract:Objective To evaluate the value of three-dimensional digital subtraction angiography (3D DSA) in diagnosis of intracranial aneurysms. Methods From January 2001 to June 2004, two-dimensional angiography and three-dimensional angiography were performed in 49 patients with confirmed or suspected aneurysms, and the effects of 2D DSA and 3D DSA were analyzed and compared. Results 47 patients with 53 aneurysms were identified with 3D DSA. Compared with 2D DSA, 3D DSA could clearly show the aneurysm shape, the aneurysm neck and its relationship with the parent artery, and exactly judge the size of the neck and the body of aneurysm. In addition, 3D DSA was superior to 2D DSA in diagnosis of tiny and complicated aneurysms. Conclusion 3D DSA can provide more valuable information of intracranial aneurysms than 2D DSA does, and promote the diagnostic accuracy of intracranial aneurysms.
Keywords:Angiography   digital subtraction  Diagnosis  Intracranial aneurysm
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