| CTA术前评估颅内窦旁脑膜瘤 |
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| 引用本文： | 刘碧英,戚婉,许亚晔,叶成斌,曹代荣,游瑞雄,邢振,胡建平,佘德君,江飞. CTA术前评估颅内窦旁脑膜瘤[J]. 中国介入影像与治疗学, 2015, 12(8): 480-483 |
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| 作者姓名： | 刘碧英 戚婉 许亚晔 叶成斌 曹代荣 游瑞雄 邢振 胡建平 佘德君 江飞 |
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| 作者单位： | 福建省中医药大学附属人民医院放射科, 福建 福州 350005,福建省中医药大学附属人民医院放射科, 福建 福州 350005,福建省中医药大学附属人民医院放射科, 福建 福州 350005,福建省中医药大学附属人民医院放射科, 福建 福州 350005,福建医科大附属第一医院放射科, 福建 福州 350005,福建医科大附属第一医院放射科, 福建 福州 350005,福建医科大附属第一医院放射科, 福建 福州 350005,福建医科大附属第一医院放射科, 福建 福州 350005,福建医科大附属第一医院放射科, 福建 福州 350005,福建医科大附属第一医院放射科, 福建 福州 350005 |
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| 摘 要： | 目的探讨320层CTA术前评估颅内窦旁脑膜瘤的价值。方法回顾性分析经手术病理证实的36例颅内窦旁脑膜瘤患者的CT资料,所有患者术前均接受320层CTA,扫描后数据后处理方法为MPR、VR、MIP,观察及评估肿瘤与周围血管及静脉窦的关系,并与术中所见比较,分析CTA术前诊断与术中所见是否一致。结果 36例中,肿瘤位于上矢状窦旁25例,下矢状窦旁2例,横窦旁4例,直窦旁5例;CT静脉成像(CTV)示13例静脉窦正常,未受肿瘤侵犯,与术中所见一致;CTV示23例静脉窦不同程度受肿瘤侵犯,其中Ⅰ型6例,Ⅱ型10例,Ⅲ型7例,而术中示22例静脉窦受侵,1例未受侵,CTV与术前诊断符合率为97.22%(35/36)。36例中CTA均可以清楚显示脑膜瘤的供血血管,其中颈外动脉供血26例(脑膜中动脉、颞浅动脉、枕后动脉),颈外、颈内动脉共同供血6例,颈内动脉供血4例,CTA结果与术中所见一致。结论 320层CTA能清楚显示颅内窦旁脑膜瘤与供血动脉及静脉窦的关系,对临床选择最佳手术入路、确定肿瘤切除范围和处理周围血管有重要的意义。
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| 关 键 词： | 体层摄影术,X线计算机 血管造影术 脑膜瘤 术前评估 |
| 收稿时间： | 2015-01-14 |
| 修稿时间： | 2015-02-12 |
CTA in preoperative assessment of intracranial parasagittal sinus meningiomas |
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| LIU Bi-ying,QI Wan,XU Ya-ye,YE Cheng-bin,CAO Dai-rong,YOU Rui-xiong,XING Zhen,HU Jian-ping,SHE De-jun and JIANG Fei. CTA in preoperative assessment of intracranial parasagittal sinus meningiomas[J]. Chinese Journal of Interventional Imaging and Therapy, 2015, 12(8): 480-483 |
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| Authors: | LIU Bi-ying QI Wan XU Ya-ye YE Cheng-bin CAO Dai-rong YOU Rui-xiong XING Zhen HU Jian-ping SHE De-jun JIANG Fei |
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| Affiliation: | Department of Radiology, the People's Hospital of Fujian Traditional Chinese Medicine University, Fuzhou 350005, China,Department of Radiology, the People's Hospital of Fujian Traditional Chinese Medicine University, Fuzhou 350005, China,Department of Radiology, the People's Hospital of Fujian Traditional Chinese Medicine University, Fuzhou 350005, China,Department of Radiology, the People's Hospital of Fujian Traditional Chinese Medicine University, Fuzhou 350005, China,Department of Radiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China,Department of Radiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China,Department of Radiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China,Department of Radiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China,Department of Radiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China and Department of Radiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China |
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| Abstract: | |
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| Keywords: | Tomography X-ray computed Angiography Meningioma Preoperative assessment |
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