CAJ | 학술논문

目的探讨容积 CT 数字减影血管造影(VCTDSA)诊断及随访脑血管创伤后改变的价值.资料与方法回顾性分析104例颅脑创伤患者共124个VCTDSA 检查资料,观察创伤性脑血管损伤(TCVI)及脑血管继发性改变的VCTDSA 表现.结果本组病例中脑血管表现正常68例,创伤性脑血管损伤21例,包括创伤性颈内动脉海绵窦瘘15例,创伤性动脉瘤 4例,静脉窦损伤4例(其中2例为复合伤);创伤后继发性脑血管改变16例,包括动脉血栓形成 1例,创伤性脑血管痉挛 5例(其中 1例合并创伤性动脉瘤),脑血管推移9例,静脉扩张 1例.结论 VCTDSA 可准确显示创伤性脑血管改变,在诊断及随访创伤性脑血管改变中具有重要临床价值.
목적탐토용적 CT 수자감영혈관조영(VCTDSA)진단급수방뇌혈관창상후개변적개치.자료여방법회고성분석104례로뇌창상환자공124개VCTDSA 검사자료,관찰창상성뇌혈관손상(TCVI)급뇌혈관계발성개변적VCTDSA 표현.결과본조병례중뇌혈관표현정상68례,창상성뇌혈관손상21례,포괄창상성경내동맥해면두루15례,창상성동맥류 4례,정맥두손상4례(기중2례위복합상);창상후계발성뇌혈관개변16례,포괄동맥혈전형성 1례,창상성뇌혈관경련 5례(기중 1례합병창상성동맥류),뇌혈관추이9례,정맥확장 1례.결론 VCTDSA 가준학현시창상성뇌혈관개변,재진단급수방창상성뇌혈관개변중구유중요림상개치.
Purpose To evaluate volume computed tomographic digital subtraction angiography (VCTDSA) in diagnosing and following up post-traumatic cerebral vascular changes. Materials and Methods 124 VCTDSA examinations in 104 patients with previous head trauma were retrospective analyzed. The features of traumatic cerebral vascular injury (TCVI) and secondary changes of post-traumatic cerebral vascular were observed with VCTDSA. Results In this study, there were 68 patients of normal appearances, 21 patients with TCVIs, including 15 traumatic carotid cavernous fistulas, 4 traumatic intracranial aneurysms, and 4 cranial venous sinus injuries. There were 16 patients with secondary changes of post-traumatic cerebral vascular, including 1 arterial thrombosis, 5 traumatic cerebral vasospasm (1 associated with traumatic intracranial aneurysm), 9 cerebrovascular displaced, 1 vein expansion. Conclusion VCTDSA of variety post-processing techniques, multi-dimensional accurately displays post-traumatic cerebral vascular changes, has important clinical value in diagnosing and following up of these diseases.