CAJ | 학술논문

目的：：探讨64排螺旋CT血管成像( CTA)在烟雾病诊断中的应用价值。方法：回顾CT平扫和CTA检查的16例烟雾病患者资料,分析其影像学特点。结果：脑出血8例,脑梗死2例,脑出血及脑梗死2例,脑萎缩及脑出血2例,2例未见明显异常。 CTA显示双侧大脑前中动脉狭窄、闭塞4例,单侧3例。双侧颈内动脉、大脑前、中动脉C1段、A1或A1~A3段、M1段不同程度狭窄、闭塞9例。合并大脑后动脉狭窄3例。16例均显示脑底异常血管网。侧支血管表现为相应血管及其分支粗大、增多,迂曲延长。结论：CTA可提供烟雾病确切的诊断,是一项实用、有效的技术,对烟雾病分析评价有重大临床价值。
목적：：탐토64배라선CT혈관성상( CTA)재연무병진단중적응용개치。방법：회고CT평소화CTA검사적16례연무병환자자료,분석기영상학특점。결과：뇌출혈8례,뇌경사2례,뇌출혈급뇌경사2례,뇌위축급뇌출혈2례,2례미견명현이상。 CTA현시쌍측대뇌전중동맥협착、폐새4례,단측3례。쌍측경내동맥、대뇌전、중동맥C1단、A1혹A1~A3단、M1단불동정도협착、폐새9례。합병대뇌후동맥협착3례。16례균현시뇌저이상혈관망。측지혈관표현위상응혈관급기분지조대、증다,우곡연장。결론：CTA가제공연무병학절적진단,시일항실용、유효적기술,대연무병분석평개유중대림상개치。
Objective:To investigate the clinical value of 64 detector spiral CT angiography(CTA) in the diagnosis of moyamoya disease. Methods:The CT scan and CTA examination data of 16 cases with moyamoya disease were retrospectively analyzed. their imaging features were compared. Results:Cerebral hemorrhage in 8 cases. cerebral infarction in 2 cases. cerebral hemorrhage and infarction in 2 cases. and brain atrophy and cerebral hemorrhage in 2 cases were found,2 cases with no obvious abnormalities. The CTA showed that bilateral anterior and middle cerebral artery stenosis and occlusion in 4 cases and unilateral stenosis and occlusion in 3 cases. The different degree of stenosis and occlusion in bilateral internal carotid artery and C1. A1 or A1-A3 and M1 segment of anterior and middle cerebral artery of 9 cases were found. The merger of posterior cerebral artery stenosis in 3 cases and moyamoya in 16 cases were found. The large increasing and circuity and extending blood vessel in collateral vessels were showed. Conclusions:CTA is an efficient and practical technique in diagnosing moyamoya disease. which has great clinical value.