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3D-DSA在脑血管疾病诊断中的应用价值
引用本文:刘康,缪南东,任勇军,徐浩,闵旭立,杨林,张小明.3D-DSA在脑血管疾病诊断中的应用价值[J].川北医学院学报,2015(1):73-76.
作者姓名:刘康  缪南东  任勇军  徐浩  闵旭立  杨林  张小明
作者单位:医学影像四川省重点实验室,川北医学院附属医院放射科,四川 南充 637000
基金项目:四川省卫生厅项目(090138)
摘    要:目的:探讨三维数字减影血管造影(three-dimension digital subtraction angiography,3D-DSA)在脑血管疾病诊断中的应用价值。方法:对临床怀疑脑血管疾病患者208例,同时进行常规DSA(2D-DSA)和3D-DSA检查,并对结果进行对比分析。结果:208例中,检出动脉瘤128例,脑动脉狭窄或闭塞29例,动静脉畸22例,烟雾病10例,脑肿瘤4例。2D-DSA病变检出率80.3%(167/208);3D-DSA病变检出率92.8%(193/208);两组检出率差异具有统计学意义(P<0.05)。结论:3DDSA在脑血管疾病诊断中具有重要的应用价值,是2D-DSA的优化和补充。

关 键 词:三维数字减影血管造影  脑动脉瘤  临床诊断  脑血管疾病

The value of three-dimension digital subtraction angiography in cerebro-vascular diseases
LIU Kang;MIAO Nan-dong;REN Yong-jun;XU Hao;MIN Xu-li;YANG Lin;ZHANG Xiao-ming.The value of three-dimension digital subtraction angiography in cerebro-vascular diseases[J].Journal of North Sichuan Medical College,2015(1):73-76.
Authors:LIU Kang;MIAO Nan-dong;REN Yong-jun;XU Hao;MIN Xu-li;YANG Lin;ZHANG Xiao-ming
Institution:LIU Kang;MIAO Nan-dong;REN Yong-jun;XU Hao;MIN Xu-li;YANG Lin;ZHANG Xiao-ming;Sichuan Key Laboratory of Medical Imaging,Department of Radiology,Affiliated Hospital of North Sichuan Medical College;
Abstract:Objective:To study the value of three-dimension digital subtraction angiography (3D-DSA) in cerebrovascular dis-eases. Methods:A retrospective analysis of 208 patients who underwent both 2D-DSA and 3D-DSA for evaluation of previously untreat-ed cerebrovascular diseases was conducted. The data of 2D-DSA and 3D-DSA images were analyzed. Results:Among the 208 patients, there are 128 patients with artery aneurysm,and 29 with artery stenosis or obstruction,22 with AVM,10 with moyamoya disease and 4 intracranial tumors. The detection rate of 2D-DSA is 80. 3%,while the rate of 3D-DSA is 92. 8%. This difference was significant in sta-tistics ( P< 0. 05 ) . Conclusion:Three-dimension DSA plays an important role in diagnosis and treatment of cerebrovascular diseases, and is an optimized and complemental imaging technique of 2D-DSA.
Keywords:Three-dimension digital subtraction angiography (3D-DSA)  Cerebral Aneurysms  Clinical diagnosis  Cerebrovas-cular disease
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