中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
3期
47-49
,共3页
双源CT脑血管造影%颅内动脉瘤%蛛网膜下腔出血
雙源CT腦血管造影%顱內動脈瘤%蛛網膜下腔齣血
쌍원CT뇌혈관조영%로내동맥류%주망막하강출혈
Dual-source CT angiography%Intracranial aneurysm%Subarachnoid hemorrhage
目的 通过分析蛛网膜下腔出血(SAH)患者早期双源CT脑血管造影(CTA)的结果,探讨双源CT在颅内动脉瘤早期诊断中的应用.方法 对78例蛛网膜下腔出血患者行CTA检查,通过外科开颅夹闭术或DSA介入栓塞术等治疗.结果 78例CTA检查阳性70例,可疑6例,阴性2例.对可疑6例及阴性2例行DSA复查,结果确诊动脉瘤6例,阴性2例,假阳性及假阴性各2例.结论 CTA是一种快速、无创、可靠、简便的方法,能早期诊断动脉瘤,并能基本提供临床医生开颅行动脉瘤夹闭手术所需的影像学资料;对小动脉瘤的诊断尚需DSA检查进一步证实.
目的 通過分析蛛網膜下腔齣血(SAH)患者早期雙源CT腦血管造影(CTA)的結果,探討雙源CT在顱內動脈瘤早期診斷中的應用.方法 對78例蛛網膜下腔齣血患者行CTA檢查,通過外科開顱夾閉術或DSA介入栓塞術等治療.結果 78例CTA檢查暘性70例,可疑6例,陰性2例.對可疑6例及陰性2例行DSA複查,結果確診動脈瘤6例,陰性2例,假暘性及假陰性各2例.結論 CTA是一種快速、無創、可靠、簡便的方法,能早期診斷動脈瘤,併能基本提供臨床醫生開顱行動脈瘤夾閉手術所需的影像學資料;對小動脈瘤的診斷尚需DSA檢查進一步證實.
목적 통과분석주망막하강출혈(SAH)환자조기쌍원CT뇌혈관조영(CTA)적결과,탐토쌍원CT재로내동맥류조기진단중적응용.방법 대78례주망막하강출혈환자행CTA검사,통과외과개로협폐술혹DSA개입전새술등치료.결과 78례CTA검사양성70례,가의6례,음성2례.대가의6례급음성2례행DSA복사,결과학진동맥류6례,음성2례,가양성급가음성각2례.결론 CTA시일충쾌속、무창、가고、간편적방법,능조기진단동맥류,병능기본제공림상의생개로행동맥류협폐수술소수적영상학자료;대소동맥류적진단상수DSA검사진일보증실.
Objective By analyzing the early dual-source CT angiography of patients with subarachnoid hemorrhage (SAH),to study the application of dual-source CT in the early diagnosis of intracranial aneurysms.Methods Seventy-eight cases of subarachnoid hemorrhage underwent CTA,by the surgical clipping treatment or DSA intervention.Results Among the 78 cases,CTA positive in 70 cases,suspicious in 6 cases,2 cases were negative.The 6 suspicious patients and 2 negative patients underwent DSA review,6 cases were aneurysm,2 cases were negative,false positive and false negative cases were all 2 cases.Conclusions CTA is a fast,noninvasive,simple,reliable method,it can diagnose aneurysm earlier,basically it can provide the imaging datas of the surgical clipping operation required; the diagnosis of small aneurysms still need further confirmation by DSA examination.
