| 64层螺旋CTA在脑动脉瘤诊断中的价值研究 |
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| 引用本文： | 张晓娟,喻博,刘作君,张兴锐,王宇,赵成双,李珍.64层螺旋CTA在脑动脉瘤诊断中的价值研究[J].中国现代医生,2010,48(8):60-61,F0003. |
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| 作者姓名： | 张晓娟 喻博 刘作君 张兴锐 王宇 赵成双 李珍 |
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| 作者单位： | 1. 辽宁辽阳市第三人民医院影像中心,辽宁辽阳,111000
2. 沈阳盛京医院脑外科,辽宁沈阳,110001 |
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| 摘 要： | 目的评价64层螺旋CT血管成像对脑动脉瘤的诊断价值。方法对自发性蛛网膜下腔出血患者共27例进行CTA检查,应用容积重建(VR)、最大密度投影(MIP)、数字减影重建(NEURO-DSA)对脑血管显示情况进行评价,24例CTA异常病人均进行DSA对照检查,其中20例行DSA介入治疗,3例进行手术治疗。结果27例中CTA诊断为脑动脉瘤24例,3例未见动脉瘤改变,对24例进行DSA对照结果:后交通动脉瘤14例,前交通动脉瘤3例,大脑中动脉动脉瘤2例,大脑后动脉动脉瘤1例,后交通动脉瘤同时存在2例,后交通与大脑后动脉瘤同时存在1例,1例DSA结果未见异常改变,诊断准确率为97%,动脉瘤数量为26个。结论64层螺旋CT血管成像快速、准确,对自发性蛛网膜下腔出血诊断与DSA基本一致,能够为临床提供准确诊断结果,可以做为脑动脉瘤诊断首选依据。
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| 关 键 词： | 蛛网膜下腔出血 脑动脉瘤 血管成像 数字减影血管造影技术 X线计算机 |
64-Slice Spiral CTA for Diagnosis of Cerebral Aneurysms |
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| Authors: | ZHANG Xiaojuan YU Bo LIU Zuojun ZHANG Xingrui WANG Yu ZHAO Chengshuang LI Zhen Imaging Center Liaoyang City Third People\'s Hospital Liaoyang China |
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| Institution: | ZHANG Xiaojuan1 YU Bo2 LIU Zuojun1 ZHANG Xingrui1 WANG Yu1 ZHAO Chengshuang1 LI Zhen1 1.Imaging Center,Liaoyang City Third People\'s Hospital,Liaoyang 111000,China,2.Department of Neurosurgery,Shenyang City Shengjing Hospital,Shengyang 110001 |
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| Abstract: | Objective To evaluate 64-slice spiral CT angiography for the diagnosis of cerebral aneurysms.Methods CTA was used for 27 cases of spontaneous subarachnoid hemorrhage.The cerebral blood vessels were evaluated by using volume rendering(VR),maximum intensity projection(MIP)and digital subtraction reconstruction(NEURO-DSA),and the DSA control examination was conducted in 24 cases of abnormal CTA,including the DSA interventional therapy for 20 cases and surgery for 3 cases.Results In 27 cases,24 were diagnosed a... |
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| Keywords: | Subarachnoid hemorrhage Aneurysm Angiography Digital subtraction angiography X-ray computer |
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