| 64排CT血管造影在动脉瘤性蛛网膜下腔出血的临床研究 |
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| 引用本文： | 陈立朝,许民辉,邹咏文,杨东虹,张云东,徐伦山,张溢华. 64排CT血管造影在动脉瘤性蛛网膜下腔出血的临床研究[J]. 中国微侵袭神经外科杂志, 2011, 16(3): 110-112 |
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| 作者姓名： | 陈立朝 许民辉 邹咏文 杨东虹 张云东 徐伦山 张溢华 |
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| 作者单位： | 第三军医大学第三附属医院野战外科研究所神经外科,重庆,400042 |
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| 摘 要： | 目的评估CT血管造影(CTA)在动脉瘤性蛛网膜下腔出血(SAH)病人中选择治疗策略的作用。方法对231例动脉瘤性SAH病人行64排CTA检查,选择临床治疗方案,并通过DSA或外科手术验证CTA检查的准确性。结果 CTA检查与DSA或术中探查一致228例,CTA信息不充分2例,CTA漏诊1例;CTA检查的敏感性98.7%,特异性100%。根据CTA检查确定治疗方案228例(98.7%),其中采用血管内栓塞治疗141例,夹闭术87例;根据DSA检查,采用血管内栓塞治疗3例。结论 64排CTA能准确检测颅内动脉瘤及其特征,有助于选择治疗策略。
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| 关 键 词： | 颅内动脉瘤 蛛网膜下腔出血 CT血管造影 |
Clinical research of 64-slice CT angiography in aneurysmal subarachnoid hemorrhage |
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| Chen Lizhao,Xu Minhui,Zou Yongwen,Yang Donghong,Zhang Yundong,Xu Lunshan,Zhang Yihua. Clinical research of 64-slice CT angiography in aneurysmal subarachnoid hemorrhage[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2011, 16(3): 110-112 |
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| Authors: | Chen Lizhao Xu Minhui Zou Yongwen Yang Donghong Zhang Yundong Xu Lunshan Zhang Yihua |
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| Affiliation: | Chen Lizhao,Xu Minhui,Zou Yongwen,Yang Donghong,Zhang Yundong,Xu Lunshan,Zhang Yihua Department of Neurosurgery,Battle Surgical Institute of Third Affiliated Hospital,Third Military Medical University,Chongqing 400042,China |
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| Abstract: | Objective To evaluate the clinical application of CT angiography (CTA) in making therapeutic strategy for patients with aneurysmal subarachnoid hemorrhage (SAH). Methods The 64-slice CTA examination was performed in 231 patients with aneurysmal SAH to select appropriate treatment strategies. CTA findings should be confirmed by DSA or surgical exploration. Results CTA findings were coincident with the findings by DSA or surgical exploration in 228 cases, CTA findings were insufficient in 2 cases, and missed ... |
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| Keywords: | intracranial aneurysm subarachoid hemorrhage CT angiography |
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