CAJ | 학술논문

目的：对比分析CTA与DSA三维成像诊断脑动脉瘤的价值。方法以我院收治的34例脑动脉瘤患者为研究对象，分别采用CTA与DSA技术进行检查，对检查结果作分析、对照、治疗。具体统计CTA与DSA的检出率，并对CTA与DSA检查诊断的敏感性、特异性进行计算。结果 DSA检查检出率为97.56％，CTA为95.12％，2组比较，差异无统计学意义（P＞0.05）。DSA检查诊断敏感性为97.30％，特异性为75％；C T A检查诊断的敏感性为94.87％，诊断特异性为100％。在诊断敏感性上，二者比较，差异无统计学意义（ P＞0.05）；在诊断特异性上，二者比较，差异有统计学意义（P＜0.05）。结论 CTA三维成像与DSA旋转成像在脑动脉瘤的临床诊断中均有较高的应用价值，但CTA诊断的特异性要略高于DSA ，且简单、无创、安全，可作为脑动脉瘤诊断的首选方法。DSA在造影诊断虽为侵入性检查，但在检查的同时对大部分脑动脉瘤病例可以采用介入填塞治疗。
목적：대비분석CTA여DSA삼유성상진단뇌동맥류적개치。방법이아원수치적34례뇌동맥류환자위연구대상，분별채용CTA여DSA기술진행검사，대검사결과작분석、대조、치료。구체통계CTA여DSA적검출솔，병대CTA여DSA검사진단적민감성、특이성진행계산。결과 DSA검사검출솔위97.56％，CTA위95.12％，2조비교，차이무통계학의의（P＞0.05）。DSA검사진단민감성위97.30％，특이성위75％；C T A검사진단적민감성위94.87％，진단특이성위100％。재진단민감성상，이자비교，차이무통계학의의（ P＞0.05）；재진단특이성상，이자비교，차이유통계학의의（P＜0.05）。결론 CTA삼유성상여DSA선전성상재뇌동맥류적림상진단중균유교고적응용개치，단CTA진단적특이성요략고우DSA ，차간단、무창、안전，가작위뇌동맥류진단적수선방법。DSA재조영진단수위침입성검사，단재검사적동시대대부분뇌동맥류병례가이채용개입전새치료。
Objective To analysis the CTA three-dimensional imaging and DSA rotation value of imaging diagnosis of cerebral aneurysms . Methods In our hospital 68 cases of cerebral aneurysm patients as the research object ,used CTA and DSA technology in diagnosis respectively .Ac-cording to the results of the digital surgical pathology confirmed statistical rate of CTA and DSA ,and CTA and DSA examination diagnostic sensi-tivity and specificity were calculated .Results The DSA examination detection rate was 96.34% ,CTA was 95.12% ,and the comparison of two groups ,there was no statistically significant difference (P>0.05) .DSA examination diagnosis sensitivity 96.05% ,specificity 83.33% ;CTA check the sensitivity of diagnosis was 94.87% ,specificity was 100% .On the diagnostic sensitivity ,both comparisons ,there was no statistically significant difference(P>0.05);on the diagnostic specificity ,the comparison ,the difference was statistically significant (P<0.05) .Conclusion CTA 3-d rota-tion imaging and DSA imaging in clinical diagnosis of brain aneurysms have higher application value ,but the specificity is slightly higher than DSA , CTA diagnosis and is simple ,noninvasive ,safe ,and can be used as the preferred methods for the diagnosis of cerebral aneurysms.