中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
4期
426-427
,共2页
黄智%刘璋%王博%林成业%张立%李玉香%肖海松%陆志锋%王潇%高文
黃智%劉璋%王博%林成業%張立%李玉香%肖海鬆%陸誌鋒%王瀟%高文
황지%류장%왕박%림성업%장립%리옥향%초해송%륙지봉%왕소%고문
自发性蛛网膜下腔出血%X射线计算机断层成像%核磁共振成像%数字减影血管造影
自髮性蛛網膜下腔齣血%X射線計算機斷層成像%覈磁共振成像%數字減影血管造影
자발성주망막하강출혈%X사선계산궤단층성상%핵자공진성상%수자감영혈관조영
Rupture of subarachnoid hemorrhage%Computerized tomography%Magnetic resonance imaging%Digital subtraction angiography
目的 探讨CT、MRI与数字减影血管造影(DSA)在自发性蛛网膜下腔出血中应用,以提高该病诊治水平.方法 回顾性分析本院2008年7月至2010年12月20例自发性蛛网膜下腔出血患者诊治过程.所有患者均先行CT平扫,证实为自发性蛛网膜下腔出血后,再行MRI检查,并进行MRA三维重建以查明原因,对疑有颅内小动脉瘤者行DSA检查并予血管内弹簧圈栓塞治疗.结果 本组自发性蛛网膜下腔出血患者颅内小动脉瘤破裂所致最多,共12例(60%),其次为动静脉畸形破裂所致4例(20%)和高血压动脉硬化3例(15%),另外1例(5%)的患者是烟雾病.12例颅内小动脉瘤患者DSA造影发现动脉瘤后即行血管内弹簧圈栓塞治疗并均达致密栓塞.结论 首先行CT平扫,证实为自发性蛛网膜下腔出血,再行MRI检查,并进行MRA三维重建以查明原因.对疑有颅内小动脉瘤者行DSA检查,DSA造影发现动脉瘤后即行血管内弹簧圈栓塞治疗.是自发性蛛网下腔出血中最优化的诊疗方案,可提高该病诊治水平.
目的 探討CT、MRI與數字減影血管造影(DSA)在自髮性蛛網膜下腔齣血中應用,以提高該病診治水平.方法 迴顧性分析本院2008年7月至2010年12月20例自髮性蛛網膜下腔齣血患者診治過程.所有患者均先行CT平掃,證實為自髮性蛛網膜下腔齣血後,再行MRI檢查,併進行MRA三維重建以查明原因,對疑有顱內小動脈瘤者行DSA檢查併予血管內彈簧圈栓塞治療.結果 本組自髮性蛛網膜下腔齣血患者顱內小動脈瘤破裂所緻最多,共12例(60%),其次為動靜脈畸形破裂所緻4例(20%)和高血壓動脈硬化3例(15%),另外1例(5%)的患者是煙霧病.12例顱內小動脈瘤患者DSA造影髮現動脈瘤後即行血管內彈簧圈栓塞治療併均達緻密栓塞.結論 首先行CT平掃,證實為自髮性蛛網膜下腔齣血,再行MRI檢查,併進行MRA三維重建以查明原因.對疑有顱內小動脈瘤者行DSA檢查,DSA造影髮現動脈瘤後即行血管內彈簧圈栓塞治療.是自髮性蛛網下腔齣血中最優化的診療方案,可提高該病診治水平.
목적 탐토CT、MRI여수자감영혈관조영(DSA)재자발성주망막하강출혈중응용,이제고해병진치수평.방법 회고성분석본원2008년7월지2010년12월20례자발성주망막하강출혈환자진치과정.소유환자균선행CT평소,증실위자발성주망막하강출혈후,재행MRI검사,병진행MRA삼유중건이사명원인,대의유로내소동맥류자행DSA검사병여혈관내탄황권전새치료.결과 본조자발성주망막하강출혈환자로내소동맥류파렬소치최다,공12례(60%),기차위동정맥기형파렬소치4례(20%)화고혈압동맥경화3례(15%),령외1례(5%)적환자시연무병.12례로내소동맥류환자DSA조영발현동맥류후즉행혈관내탄황권전새치료병균체치밀전새.결론 수선행CT평소,증실위자발성주망막하강출혈,재행MRI검사,병진행MRA삼유중건이사명원인.대의유로내소동맥류자행DSA검사,DSA조영발현동맥류후즉행혈관내탄황권전새치료.시자발성주망하강출혈중최우화적진료방안,가제고해병진치수평.
Objective To study the application of the computed tomography (CT), magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) in spontaneous subarachnoid hemorrhage, in order to improve disease diagnosis and therapy. Methods The process of diagnosis and treatment of twenty cases of spontaneous subarachnoid hemorrhage in our hospital from July 2008 to December 2010 were retrospectively analyzed. All patients were examined with CT scan firstly and confirmed spontaneous subarachnoid hemorrhage, further with MRI,and three-dimensional reconstruction of the magnetic resonance angiography of video (MRA) to identify the reasons,suspected small intracranial aneurysms were examined with DSA, and treated with endovascular coil embolization.Results The patients with spontaneous subarachnoid hemorrhage caused by rupture of small intracranial aneurysms had 12 cases(60%). Second, due to arteriovenous malformation in 4 cases (20%) and high blood pressure atherosclerosis in 3 cases (15%), while one case (5%) was moyamoya disease. Twelve cases of small intracranial aneurysms were found endovascular aneurysm after DSA imaging and treated with coil embolization, and reached the dense embolism. Conclusions The patients are examined with CT scan firstly and confirm SAH, further examined with MRI, and three-dimensional reconstruction of the MRA to identify the cause, the suspected small intracranial aneurysms were examined with DSA inspection, aneurysms found by DSA imaging are treated with endovascular coil embolization. The program is the optimal treatment program of spontaneous hemorrhage, can improve the diagnosis and treatment of disease.
