CAJ | 학술논문

目前数字减影全脑血管造影是诊断颅脑血管性疾病的重要检查方法之一,它可以了解颅内出血性疾病的病因,可以对颅内动脉瘤、动静脉畸形等出血性疾病的病变最大程度的了解.它也可以对缺血性疾病做出正确的判断,可以直观的测量血管狭窄程度和范围,观察侧支循环情况.而且还能正确评估脑血流动力学及侧支代偿情况.对于需要行介入治疗的患者可很好的了解病变的情况,对于制定手术计划有很大帮助;对于需要开颅手术患者能提供各种角度观察病灶的图像,能够将手术显微镜下观察病灶的情况预先展示在术者眼前;对于血管狭窄的病人,能从各种角度观察最大狭窄程度,很好的制定治疗方案,如保守治疗的患者将来如需治疗,检查可提供对比的材料.数字化减影全脑血管造影术仍然是目前治疗脑血管疾病及评估脑血流动力学方面有着无法代替的作用.
목전수자감영전뇌혈관조영시진단로뇌혈관성질병적중요검사방법지일,타가이료해로내출혈성질병적병인,가이대로내동맥류、동정맥기형등출혈성질병적병변최대정도적료해.타야가이대결혈성질병주출정학적판단,가이직관적측량혈관협착정도화범위,관찰측지순배정황.이차환능정학평고뇌혈류동역학급측지대상정황.대우수요행개입치료적환자가흔호적료해병변적정황,대우제정수술계화유흔대방조;대우수요개로수술환자능제공각충각도관찰병조적도상,능구장수술현미경하관찰병조적정황예선전시재술자안전;대우혈관협착적병인,능종각충각도관찰최대협착정도,흔호적제정치료방안,여보수치료적환자장래여수치료,검사가제공대비적재료.수자화감영전뇌혈관조영술잉연시목전치료뇌혈관질병급평고뇌혈류동역학방면유착무법대체적작용.
Digital subtraction cerebral angiography (DSCA) is an important check-up for diagnozing cerebral vascular disease currently, which can find out the cause of intracranial hemorrhagic disease and get the understanding as much as possible on the pathology of vascular disease such as intracranial aneurysm and arteriovenous malforation etc. Moreover, it helps to make correct judgement on ischemic disease, intuitively measures vascular stenosis degree and range, observes colateral circulation situation as wel as correctly evaluates cerebral blood flow dynamics and colateral compensatory situation. DSCA can wel understand the pathology of patients that need embolization, which helps a lot in making operation plan; it provides infection focus’ images from different angles for patients who need craniotomy, it represents the microscope infection focus in advanced for surgeon; for angiostenosis patients, it can observe the largest degree of stenosis from al angles and decide the treatment; if conservative treatment patients need treatment in the future, it can provide contrast material. DSCA stil plays irreplaceable role in cerebrovascular disease treatment and cerebral blood flow dynamics evaluation at present.