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同步减影CTA在急性动脉瘤性蛛网膜下腔出血中的诊断价值
引用本文:戚跃勇,陈轶,邹利光,刘俊. 同步减影CTA在急性动脉瘤性蛛网膜下腔出血中的诊断价值[J]. 血栓与止血学, 2011, 17(5): 211-213
作者姓名:戚跃勇  陈轶  邹利光  刘俊
作者单位:第三军医大学附属新桥医院放射科,重庆,400037,脑外科
摘    要:
目的探讨同步减影CTA在急性动脉瘤性蛛网膜下腔出血中的诊断价值。方法 68例临床怀疑急性动脉瘤性蛛网膜下腔出血者行传统的MSCTA检查者32例,同步减影CTA检查者36例。所有MSCTA检查均行MIP、VR、MPR和CTVE重建。结果传统的MSCTA检查对颅内动脉瘤诊断的检出率、敏感性、特异性和准确性分别均为93.8%、93.8%、100%和93.8%,而同步减影CTA者均为100%,但两者无统计学差异(P〉0.05)。MSCT-DSA法的瘤体邻近颅骨完全分离率为100%,高于传统的MSCTA检查的81.3%(P〈0.05)。同步减影CTA法的后处理时间为9.3±5.4 min,短于传统的MSCTA检查(20.6±9.7 min)(P〈0.05)。结论急性动脉瘤性蛛网膜下腔出血的同步减影CTA检查优于传统的MSCTA检查。

关 键 词:颅内动脉瘤  数字减影  体层摄影术  X线计算机

The Diagnostic Value of Synchronous Scanning of CT Digital Subtraction Angiography in Acute Aneurismal Subarachnoid Hemorrhage
QI Yue-yong,CHEN Yi,ZOU Li-guang,LIU Jun. The Diagnostic Value of Synchronous Scanning of CT Digital Subtraction Angiography in Acute Aneurismal Subarachnoid Hemorrhage[J]. Chinese Journal of Thrombosis and Hemostasis, 2011, 17(5): 211-213
Authors:QI Yue-yong  CHEN Yi  ZOU Li-guang  LIU Jun
Affiliation:QI Yue-yong,CHEN Yi,ZOU Li-guang,LIU Jun*(Department of Radiology,Xinqiao Hospital,Third Military Medical University,Chongqing,400037,China,*Department of Brain Operaeing)
Abstract:
Objective To assess the diagnostic value of synchronous scanning of CT digital subtraction angiography(CTA) in acute aneurismal subarachnoid hemorrhage.Methods 68 cases clinically suspected as the acute aneurismal subarachnoid hemorrhage were performed using the traditional multi-slice CT angiography(MSCTA) examination in 32 cases,and the synchronous CTA examination in 36 cases.All reconstructed images were reformed by means of MIP,VR,MPR and CTVE.Results The detecting rate,sensitivity,specificity and accur...
Keywords:Intracranial aneurysm  Digital subtraction  Tomography  X-ray computed.  
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