CAJ | 학술논문

目的探讨双源CT增强扫描及动脉血管重建在化脓性脑膜炎中的临床诊断价值.方法回顾性分析8例化脓性脑膜炎患者的临床资料和颅脑双源CT增强扫描及颅脑动脉血管重建的影像学资料.结果 8例化脓性脑膜炎患者中,6例患者可见有不同程度脑池、脑沟、脑血管周围的线样、串珠样高密度强化影,尤以基底池及环池周围异常强化；1例患者左侧颞叶见一环形强化影；2例患者颅脑动脉血管重建可见颅内动脉呈梭形改变.结论双源CT增强扫描及动脉血管重建能为化脓性脑膜炎的早期诊断提供帮助,提高其确诊率.
목적 탐토쌍원CT증강소묘급동맥혈관중건재화농성뇌막염중적림상진단개치.방법 회고성분석8례화농성뇌막염환자적림상자료화로뇌쌍원CT증강소묘급로뇌동맥혈관중건적영상학자료.결과 8례화농성뇌막염환자중,6례환자가견유불동정도뇌지、뇌구、뇌혈관주위적선양、천주양고밀도강화영,우이기저지급배지주위이상강화；1례환자좌측섭협견일배형강화영；2례환자로뇌동맥혈관중건가견로내동맥정사형개변.결론 쌍원CT증강소묘급동맥혈관중건능위화농성뇌막염적조기진단제공방조,제고기학진솔.
Objective To evaluate the clinical application of enhancement scan and angiography of dual-source computed tomography (CT) in purulent meningitis.Methods The clinical data,imaging data of enhancement scan and angiography of dual-source CT of 8 cases with purulent meningitis were analyzed retrospectively.Results There was linear or bead-like high intensity enhancement of different degree around the cistern,groove or the cerebral vessels in 6 cases,especially around the basal cistern and ambient cistern; a ring-like enhancement was shown in the temporal lobe in 1 case; fusiform change of the cerebral arteries was shown in angiography of dual-source CT in 2 cases.Conclusion Enhancement scan and angiography of dual-source CT is valuable for early diagnosis of purulent meningitis and improve the diagnosis rate.