CAJ | 학술논문

目的：探讨三维数字减影血管造影(3D-DSA)在颅内动脉瘤诊断和治疗中的价值。方法151例自发性蛛网膜下腔出血(SAH)患者、1例头痛患者和1例脑梗死患者分别进行二维数字减影血管造影(2D-DSA)和3D-DSA 检查。结果2D-DSA 检出动脉瘤112例(125枚),检出率73.2%(112/153)；3D-DSA 检出动脉瘤136例(152枚),检出率88.9%(136/153)(χ2=12.254,P <0.05)。3D-DSA 对动脉瘤体与载瘤血管关系和瘤颈大小的显示率为100%(152/152),而2D-DSA 为61.6%(77/125),两者比较有统计学差异(χ2=63.993,P <0.05)。结论3D-DSA 能够提高颅内动脉瘤诊断的准确率,有助于动脉瘤治疗方案的选择。
목적：탐토삼유수자감영혈관조영(3D-DSA)재로내동맥류진단화치료중적개치。방법151례자발성주망막하강출혈(SAH)환자、1례두통환자화1례뇌경사환자분별진행이유수자감영혈관조영(2D-DSA)화3D-DSA 검사。결과2D-DSA 검출동맥류112례(125매),검출솔73.2%(112/153)；3D-DSA 검출동맥류136례(152매),검출솔88.9%(136/153)(χ2=12.254,P <0.05)。3D-DSA 대동맥류체여재류혈관관계화류경대소적현시솔위100%(152/152),이2D-DSA 위61.6%(77/125),량자비교유통계학차이(χ2=63.993,P <0.05)。결론3D-DSA 능구제고로내동맥류진단적준학솔,유조우동맥류치료방안적선택。
Objective To explore the clinical value of 3-dimensional digital subtraction angiography(3D-DSA)in the diagnosis and therapy of intracranial aneurysms.Methods 2-dimensional digital subtraction angiography (2D-DSA)and 3D-DSA was performed respectively on 1 53 patients,including 1 5 1 cases with spontaneous subarachnoid hemorrhage (SAH),1 case with headache and 1 case with cerebral infarction;Meanwhile,to compare the difference in diagnosis of intracranial aneurysms between 2D-DSA and 3D-DSA.Results 1 12 patients(125 pieces)with intracranial aneurysms were detected on 2D-DSA,its detecting rate was 73.2%(1 12/1 53 );136 patients(1 52 pieces)with intracranial aneurysms were detected on 3D-DSA,its detecting rate was 88.9%(136/1 53)(χ2 =12.254,P <0.05).The displaying rate of 3D-DSA for the relationship between carrying tumor artery and aneurysms and the necks of aneurysms was 100%(1 52/1 52),however,the displaying rate of 2D-DSA for that was 61.6%(77/125)(χ2 =63.993,P <0.05). Conclusion 3D-DSA can improved the diagnostic accurate rate of intracranial aneurysms,it is important in chosing the therapeutic regimen.