| 弹簧圈栓塞颅内动脉瘤的远期MRA随访研究 |
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| 引用本文： | 卢小健,张鸿祺,张〓鹏,支兴龙,凌〓锋.弹簧圈栓塞颅内动脉瘤的远期MRA随访研究[J].南京医科大学学报,2010(2):206-210. |
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| 作者姓名： | 卢小健 张鸿祺 张〓鹏 支兴龙 凌〓锋 |
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| 作者单位： | 南通大学附属医院神经外科;首都医科大学宣武医院神经外科; |
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| 基金项目： | 国家“十五”科技攻关项目(延续资助)(001BA70316) |
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| 摘 要： | 目的:探讨磁共振血管成像(MRA)在颅内动脉瘤弹簧圈栓塞后远期随访的可行性。方法:应用3D时间飞跃法MRA(3D TOF-MRA)对38例患者用弹簧圈栓塞3年以上的38个颅内动脉瘤进行扫描,并同期进行数字减影血管造影(DSA)检查。以DSA结果为标准,对MRA图像显示的动脉瘤的残留及载瘤动脉通畅情况进行分析。结果:38个动脉瘤中,DSA证实稳定33个,复发5个,载瘤动脉通畅36例,闭塞2例;MRA发现动脉瘤稳定32个,复发6个,载瘤动脉通畅34例,闭塞4例。MRA判断动脉瘤残留的敏感度、特异度分别为84.6%、92.0%;判断动脉瘤复发的敏感度、特异度分别为80.0%、93.0%;判断载瘤动脉是否通畅的敏感度、特异度分别为94.4%、100%。结论:3D TOF MRA是长期随访栓塞后颅内动脉瘤的有效、可靠的方法,但需进一步积累经验。
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| 关 键 词： | 颅内动脉瘤 介入治疗 随访 MRA |
Long term follow up of coiled intracranial aneurysms by MR angiography |
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| LU Xiao-jian,ZHANG Hong-qi,ZHANG Peng,ZHI Xin-long and LING Feng.Long term follow up of coiled intracranial aneurysms by MR angiography[J].Acta Universitatis Medicinalis Nanjing,2010(2):206-210. |
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| Authors: | LU Xiao-jian ZHANG Hong-qi ZHANG Peng ZHI Xin-long and LING Feng |
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| Institution: | Department of Neurosurgery/a>;Affiliated Hospital of Nantong University/a>;Nantong 226001/a>;1Department of Neurosurgery/a>;XuanWu Hospital/a>;Capital University of Medical Science/a>;Beijing 100035/a>;China |
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| Abstract: | Objective:To evaluate the feasibility and usefulness of 3D time of flight MR angiography (TOF-MRA) for the follow-up of intracranial aneurysms treated with guglielmi detachable coils. Methods:Total of 38 patients with 38 aneurysms treated with guglielmi detachable coils over 36 months were examed by 3D TOF-MRA and DSA simultaneously. DSA was the reference for the detection of a residual neck or residual aneurysm. Recurrence of aneurysms and patency of parent arteries were determined by comparing MRA with DS... |
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| Keywords: | intracranial aneurysm interventional therapy follow-up MR angiography |
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