| CTA模拟入路早期手术治疗破裂动脉瘤 |
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| 引用本文： | 王知非,廖达光,张天一,杨金福,刘飞. CTA模拟入路早期手术治疗破裂动脉瘤[J]. 南方医科大学学报, 2009, 29(12): 2492-2494,2496 |
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| 作者姓名： | 王知非 廖达光 张天一 杨金福 刘飞 |
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| 作者单位： | 中南大学湘雅三医院神经外科,湖南,长沙,410013 |
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| 摘 要： | 目的应用三维CT血管造影（3D-CTA）模拟入路,探讨在颅内动脉瘤破裂后,早期手术治疗中3D-CTA的应用价值。方法选择经早期手术证实的颅内动脉瘤破裂致蛛网膜下腔出血患者48例,Hunt-Hess分级：Ⅰ级11例,Ⅱ级29例,Ⅲ级8例,术前均行3D-CTA检查并进行动脉瘤手术模拟,将患者的术前CTA与术中所见进行比较,分析3D-CTA的临床应用价值。结果术前3D-CTA能清晰地显示动脉瘤位置、大小、形态、瘤顶指向、瘤颈宽窄、载瘤动脉、动脉瘤与周围血管及骨结构关系,且与术中所见基本一致;出院时GOS预后评分：5分41例、4分4例、3分2例、2分1例。结论3D-CTA可对颅内动脉瘤开颅夹闭术进行模拟,从而提高手术的成功率。
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| 关 键 词： | 三维CT血管造影术 颅内动脉瘤 模拟手术 |
CT angiography-based simulation of the surgical approach in early operation for ruptured aneurysm |
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| WANG Zhi-fei,LIAO Da-guang,ZHANG Tian-yi,YANG Jin-fu,LIU Fei. CT angiography-based simulation of the surgical approach in early operation for ruptured aneurysm[J]. Journal of Southern Medical University, 2009, 29(12): 2492-2494,2496 |
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| Authors: | WANG Zhi-fei LIAO Da-guang ZHANG Tian-yi YANG Jin-fu LIU Fei |
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| Affiliation: | WANG Zhi-fei,LIAO Da-guang,ZHANG Tian-yi,YANG Jin-fu,LIU Fei Department of Neurosurgery,Third Xiangya Hospital,Central South University,Changsha 410013,China |
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| Abstract: | Objective To simulate the surgical approaches for intracranial aneurysms using three-dimensional CT angiography (3D-CTA) and assess the value of 3D-CTA in early microneurosurgery for ruptured intracranial aneurysms. Methods Forty-eight patients with spontaneous subarachnoid hemorrhage due to ruptured intracranial aneurysm were confirmed by early operation. All the patients were classified according to Hunt-Hess, including 11 of grade I, 29 of grade II, and 8 of grade III. CTA was performed before the operat... |
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| Keywords: | three0dimensional CT angiography intracranial aneurysm surgical simulation |
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