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脑CT血管造影及灌注成像在TIA诊断中的临床应用
引用本文:周春来,李继梅,薛启蓂. 脑CT血管造影及灌注成像在TIA诊断中的临床应用[J]. 中国误诊学杂志, 2007, 7(7): 1423-1425
作者姓名:周春来  李继梅  薛启蓂
作者单位:首都医科大学附属北京友谊医院神经内科,北京,100050
摘    要:目的:探讨脑CT血管造影(CT angiography,CTA)及灌注成像(CT perfusion imaging,CTP)在诊断短暂性脑缺血发作(transient ischemic attack,TIA)中的临床应用。方法:对37例临床确诊的TIA患者进行回顾性分析。结果:35例患者头CT平扫未发现与临床症状相关的责任病灶;22例脑CT灌注成像异常;25例CTA可见颈内动脉和椎基底动脉系统动脉有不同程度狭窄。结论:CTA联合CTP对诊断TIA具有重要的临床价值。

关 键 词:脑缺血发作  短暂性/放射摄影术 体层摄影术  X线计算机 脑血管造影术
文章编号:1009-6647(2007)07-1423-03
收稿时间:2007-01-22
修稿时间:2007-03-01

Clinical Application of CT Angiography and CT Perfusion Imaging in Transient Ischemic Attack
ZHOU Chun-lai,LI Ji-mei,XUE Qi-ming. Clinical Application of CT Angiography and CT Perfusion Imaging in Transient Ischemic Attack[J]. Chinese Journal of Misdiagnostics, 2007, 7(7): 1423-1425
Authors:ZHOU Chun-lai  LI Ji-mei  XUE Qi-ming
Abstract:Objective:To explore the clinical application of CT angiography (CTA)and CT perfusion imaging(CTP) in transient ischemic attack(TIA).Method:37 cases of TIA were analyzed by CTA and CTP signs.Results:35 cases obtained regular CT negative results related with clinical features.22 cases were confirmed by CTP as having ischemic lesions. 25 cases had different-grade artery stenosis of internal carotid artery and vertebrobasilar system.Conclusions:Combining use of CTA and CTP can provide a valuable information in diagnosis of TIA.
Keywords:Isehemie attaek,transient/radiography   Tomography,X-ray eomputed   Cerebral angiography
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