CAJ | 학술논문

目的：探讨多层螺旋CT血管成像技术(MSCTA)在脑出血早期诊断的应用价值。方法通过对患者进行螺旋CT平扫，对45例脑出血患者进行临床诊断，将诊断的结果与DSA全脑动脉造影检查结果进行比较。结果在45例脑出血患者中，通过对其进行MSCTA检查，结果发现29例患者为脑动脉瘤，9例患者为动静脉畸型，2例患者为烟雾病，3例患者为静脉性血管畸型，2例患者原因不明。病理检出脑动脉瘤30例，SCTA显示动脉瘤29，检出率为96.67%，4例患者肿瘤位于颈内动脉颅内段、9例患者肿瘤位于前交通动脉、4例患者肿瘤位于大脑前动脉、3例患者肿瘤位于椎基动脉、9例患者肿瘤位于大脑中动脉。结论血管CTA成像技术是一种安全、无创、可靠的脑血管成像技术，可作为脑出血早期诊断的首选方法。
목적：탐토다층라선CT혈관성상기술(MSCTA)재뇌출혈조기진단적응용개치。방법통과대환자진행라선CT평소，대45례뇌출혈환자진행림상진단，장진단적결과여DSA전뇌동맥조영검사결과진행비교。결과재45례뇌출혈환자중，통과대기진행MSCTA검사，결과발현29례환자위뇌동맥류，9례환자위동정맥기형，2례환자위연무병，3례환자위정맥성혈관기형，2례환자원인불명。병리검출뇌동맥류30례，SCTA현시동맥류29，검출솔위96.67%，4례환자종류위우경내동맥로내단、9례환자종류위우전교통동맥、4례환자종류위우대뇌전동맥、3례환자종류위우추기동맥、9례환자종류위우대뇌중동맥。결론혈관CTA성상기술시일충안전、무창、가고적뇌혈관성상기술，가작위뇌출혈조기진단적수선방법。
Objective To investigate the multi slice spiral CT angiography (MSCTA) in the application value in the early diagnosis of cerebral hemorrhage. Methods Through spiral CT plain scan in 45 cases of patients, cerebral hemorrhage patients for clinical diagnosis, the results of whole brain angiography diagnosis result is compared with the DSA method. Results In 45 cases of cerebral hemorrhage patients, were examined by MSCTA on it, found that 29 patients with cerebral aneurysm, 9 patients with arteriovenous malformation, 2 cases of patients with moyamoya disease, 3 patients with venous vascular malformation, 2 cases of patients with unexplained. Pathological detection of cerebral aneurysm in 30 cases, SCTA showed aneurysm in 29, the detection rate was 96.67%, 4 cases of patients with tumors located in the intracranial segment of internal carotid artery in 9 patients, the tumors located in the anterior communicating artery, 4 cases of patients with tumors located in the anterior cerebral artery, 3 cases of patients with tumor in the vertebral basilar artery, 9 patients with tumor in the brain artery. Conclusion Vascular CTA imaging technique is a safe, no brain vascular imaging invasive, reliable and can be used as the preferred method for early diagnosis of cerebral hemorrhage.