| 多层螺旋CT血管造影在颅内动静脉畸形诊断中的价值 |
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| 引用本文： | 姚尉,张紫寅,李成杰,杨静,唐建建,杨堃,谢雪梅.多层螺旋CT血管造影在颅内动静脉畸形诊断中的价值[J].检验医学与临床,2014,0(2):155-156. |
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| 作者姓名： | 姚尉 张紫寅 李成杰 杨静 唐建建 杨堃 谢雪梅 |
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| 作者单位： | 姚尉(中航工业363医院放射科,成都,610041)； 张紫寅 (海南医学院附属医院神经外科,海口,570102)； 李成杰(中航工业363医院放射科,成都,610041)；杨静(中航工业363医院放射科,成都,610041)； 唐建建 (海南医学院附属医院神经外科,海口,570102)； 杨堃 (海南医学院附属医院神经外科,海口,570102)； 谢雪梅 (中国医科大学第一附属医院病理科,沈阳,110001)； |
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| 基金项目： | 辽宁省高校优秀人才计划资助项目（LJQ2011085）. |
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| 摘 要： | 目的评价多层螺旋CT血管造影（MSCTA）对脑动静脉畸形（AVM）的诊断价值。方法62例均于发病后1周以内完成血管造影检查，其中40例先行MSCTA检查后行数字减影血管造影术（DsA）；22例先行DSA检查后行MSCTA检查。以手术或者DsA结果为金标准，依照wH0的S-M分级标准作出AVM的5种分级。对比观察MSCTA与DsA在AVM诊断中的不同作用。结果MSCTA与DsA都能清晰显示AVM的引流血管及其与邻近血管和骨性组织间的解剖关系，MSCTA区分AVM高危组比DSA更有意义。结论MSCTA优于DSA，可清晰显示脑动静脉畸形、血管钙化等细节情况，对于脑动静脉畸形的诊断及治疗有重要意义。
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| 关 键 词： | 脑动静脉畸形 多层螺旋CT 血管造影术 |
Value of MSCTA for diagnosing intracranial arteriovenous malformations |
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| YAO Wei,ZHANG Zi-yin,L I Cheng jie,YANG J ing,TANG J ian-jian,YANG Kun,XIE Xue-mei.Value of MSCTA for diagnosing intracranial arteriovenous malformations[J].Laboratory Medicine and Clinic,2014,0(2):155-156. |
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| Authors: | YAO Wei ZHANG Zi-yin L I Cheng jie YANG J ing TANG J ian-jian YANG Kun XIE Xue-mei |
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| Institution: | 1. Department of Radiology, 363 Hospital of China Aviation Industry, Chengdu, Sichuan 610041, China ; 2. Department of Neurosurgery , Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570102, China ; 3. Department of Pathology, First Affiliated Hospi- tal, China Medical University, Shenyang, Liaoning 110001, China) |
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| Abstract: | Objective To evaluate the value of multi-slice spiral CT angiography（MSCTA） in the diagnosis of cerebral arteriovenous malformation（AVM）. Methods 62 patients with suspected cerebral AVM were performed MSCTA within 1 week of disease onset,among them,40 cases were firstly performed MSCTA,then conducted digital subtraction angiography（DSA）, while other 22 cases were firstly performed DSA, then conducted MSCTA. Operation or DSA results were taken as the golden standard. 5 kinds of classification for AVM were carried out according to the S-M classification criteria by WHO. The different roles of MSCTA and DSA in the diagnosis of AVM were compara tively observed. Results Both MSCTA and DSA clearly displayed the draining blood vessels and their anatomic rela- tionship with the adjacent blood vessels and bony tissues of AVM. MSCTA had more significance in differentiating the high risk AVM than DSA. Conclusion MSCTA is superior to DSA,which could clearly display the details of cer- ebral AVM with the important significance to the diagnosis and treatment of cerebral AVM. |
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| Keywords: | cerebral arteriovenous malformations multi-slice spiral CT angiography |
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