CAJ | 학술논문

目的探讨DSA全脑血管造影对脑血管疾病的诊断价值.方法选择有造影指征的脑血管疾病(出血性,缺血性)患者164例,行DSA全脑血管造影,分析造影结果,并对治疗情况进行随访.结果诊断情况,缺血性疾病99例:造影发现异常44例,阳性率44.44%(44/99);出血性疾病65例:①50例自发性蛛网膜出血:发现异常36例,阳性率72.00%(36/50).②15例自发性脑出血(含脑室出血):发现异常10例;阳性率为66.67%(10/15).总阳性率54.88%(44+36+10/164).治疗情况.缺血性:颈动脉狭窄:颈动脉支架10例,1例行颈内动脉内膜剥脱术,余予内科保守治疗;颅内动脉狭窄:1例支架植入,余保守治疗;2例烟雾病行颞肌贴覆术.出血性动脉瘤(AN):行介入栓塞20例,手术夹闭5例(外院),其他病例放弃进一步治疗;动静脉畸形(AVM)2例手术(外院),2例γ-刀治疗(外院);硬脑膜动静脉瘘(DAVF)放弃进一步治疗;颈内动脉海绵窦瘘(CCF)介入栓塞;海绵状血管畸形(CA)行手术治疗;烟雾病全部行颞肌贴覆术.结论脑血管造影是脑血管疾病病因诊断的黄金标准,并为进一步治疗提供依据.
목적 탐토DSA전뇌혈관조영대뇌혈관질병적진단개치.방법 선택유조영지정적뇌혈관질병(출혈성,결혈성)환자164례,행DSA전뇌혈관조영,분석조영결과,병대치료정황진행수방.결과 진단정황,결혈성질병99례:조영발현이상44례,양성솔44.44%(44/99);출혈성질병65례:①50례자발성주망막출혈:발현이상36례,양성솔72.00%(36/50).②15례자발성뇌출혈(함뇌실출혈):발현이상10례;양성솔위66.67%(10/15).총양성솔54.88%(44+36+10/164).치료정황.결혈성:경동맥협착:경동맥지가10례,1례행경내동맥내막박탈술,여여내과보수치료;로내동맥협착:1례지가식입,여보수치료;2례연무병행섭기첩복술.출혈성동맥류(AN):행개입전새20례,수술협폐5례(외원),기타병례방기진일보치료;동정맥기형(AVM)2례수술(외원),2례γ-도치료(외원);경뇌막동정맥루(DAVF)방기진일보치료;경내동맥해면두루(CCF)개입전새;해면상혈관기형(CA)행수술치료;연무병전부행섭기첩복술.결론 뇌혈관조영시뇌혈관질병병인진단적황금표준,병위진일보치료제공의거.
Objective To Investigate the clinical diagnostic value on DSA aortocranial angiography in cerebrovascular disease. Methods 164 cerebrovaseular disease patients (hemorrhagic/ischemic) with aortocranial angiography indicatio were put into aortocranial an-giography; analyzed the opacification consequence, and follow-up visited on the treatment condition. Results About diagnose, in 99 is-mal in 10 cases,masculine rate was 66.67%(10/15); the total masculine rate was 54.88% (44+36+10/164). About treatment in ischemic disease, in internal carotid artery narrow patients,10 were act on stent implantation, 1 patient was act on endarterectomy of the internal carotidartery, and others were act on expectant treatment;in intracalvarium arterial stenosis patients, lpatients was act on stent implantation,otherd were act on expectant treatment; 2 Moyamoya disease patients were treated bytemporal musclesticking and covering therapy.About treatment in hemorrhagic disease,20 patients were act on interventional embolic therapy with AN,5 patients were act on occlusion operation(hase-court),others gave up fur-ther treatment;in AVMpatients,2 were put into operation (base-court), 2 were act on γ-knife therapy (base-court),DAVF patient gave up further treatment,ccf patient were treated by interventional embolic therapy; CA patient were treated by operation;Moyamoya disease patients were treat-ed bytemperal muscle sticking and covering therapy. Conclusion DSA aortocranial angiography is the golden dignose standard for cerebrovascular disease,and can put forward more evidence for treatment.