CAJ | 학술논문

目的探讨多层螺旋CT三维重建对头颈部软组织血管畸形的诊断和临床治疗价值. 方法 2005年6月至2007年10月,对20例头颈部软组织血管畸形,采用64排螺旋CT及三维重建进行扫描分析,根据螺旋CT影像结果选择治疗方法,并进行术后效果评估. 结果 16例患者的螺旋CT影像可完整或部分显示瘤体的边界,清晰显示病灶的立体解剖和空间位置;4例患者的螺旋CT影像均可见异常扩张的供血动脉.根据螺旋CT影像结果,2例唇部静脉畸形患者行手术切除,病损均完全消退;11例颊部和1例口底静脉畸形行区室化硬化治疗,病损完全消退或大部分消退;2例口底静脉畸形行手术切除联合硬化治疗,病损大部分消退;4例动静脉畸形患者行超选择性的动脉栓塞治疗,术后病损部分消退,病损区搏动明显减弱或者消失. 结论多层螺旋CT三维重建对头颈部软组织血管畸形的诊断和治疗方法的选择具有重要的参考价值.
목적 탐토다층라선CT삼유중건대두경부연조직혈관기형적진단화림상치료개치. 방법 2005년6월지2007년10월,대20례두경부연조직혈관기형,채용64배라선CT급삼유중건진행소묘분석,근거라선CT영상결과선택치료방법,병진행술후효과평고. 결과 16례환자적라선CT영상가완정혹부분현시류체적변계,청석현시병조적입체해부화공간위치;4례환자적라선CT영상균가견이상확장적공혈동맥.근거라선CT영상결과,2례진부정맥기형환자행수술절제,병손균완전소퇴;11례협부화1례구저정맥기형행구실화경화치료,병손완전소퇴혹대부분소퇴;2례구저정맥기형행수술절제연합경화치료,병손대부분소퇴;4례동정맥기형환자행초선택성적동맥전새치료,술후병손부분소퇴,병손구박동명현감약혹자소실. 결론 다층라선CT삼유중건대두경부연조직혈관기형적진단화치료방법적선택구유중요적삼고개치.
Objective To explore the application of MS-CT and 3D reconstuction in diagnosis and treatment of vascular malformations in head and neck. Methods 20 cases with vascular malformations in head and neck underwent MS-CT and 3-D reconstruction. Then the treatment was determined based on the results of MSCT scanning. The postoperative results were evaluated. Results The images of MS-CT showed the edge of vascular malformations partially or completely in 16 cases of venous malformations. The lesion's anatomic site and 3-D position was obtained. The 3-D images also showed the overexpanded supply arteries in 4 case of arteriovenous malformations. 2 case of venous malformations in lip underwent resection and healed completely. 12 cases of venous malformations in buccal and floor of mouth were treated with compartmentalized sclerotherpy with partial lesion involution. 2 case of venous malformations in mouth floor were treated with operation followed by sclerotherpy with partial lesion involution. 4 cases of arteriovenous malformations were treated with Superselective Artery Embolization with partial lesion involution. Conclusion MS-CT and 3D reconstruction can play an important role in diagnosis and treatment of vascular malformations in head and neck.