中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
24期
12-13
,共2页
三维时间飞跃法磁共振血管成像%增强磁共振血管成像%数字减影血管造影%颅内动脉瘤
三維時間飛躍法磁共振血管成像%增彊磁共振血管成像%數字減影血管造影%顱內動脈瘤
삼유시간비약법자공진혈관성상%증강자공진혈관성상%수자감영혈관조영%로내동맥류
Three-dimensional time-of-flight magnetic resonance angiography%Contrast-enhanced magnetic resonance angiography%Digital subtraction angiography%Intracranial aneurysm
目的 对比三维时间飞跃法磁共振血管成像(3D TOF-MRA)、增强磁共振血管成像(CE-MRA)及数字减影血管造影(DSA)在颅内动脉瘤诊断中的应用效果.方法 86例颅内动脉瘤患者作为研究对象, 所有患者均经DSA证实为颅内动脉瘤, 后采用3D TOF-MRA、CE-MRA观察所有患者颅内磁共振影像结果, 对比三种检查方案的诊断结果及应用特点.结果 CE-MRA确诊颅内动脉瘤85例(98.84%), 3D TOF-MRA确诊79例(91.86%), 两种检查方案确诊结果与DSA诊断结果比较差异无统计学意义(P>0.05).结论 CE-MRA与3D TOF-MRA在颅内动脉瘤诊断方面具有较高的诊断价值, 但对于微小动脉瘤患者3D TOF-MRA诊断能力较弱, 存在一定的误诊漏诊现象, 应选择CE-MRA进行检查.
目的 對比三維時間飛躍法磁共振血管成像(3D TOF-MRA)、增彊磁共振血管成像(CE-MRA)及數字減影血管造影(DSA)在顱內動脈瘤診斷中的應用效果.方法 86例顱內動脈瘤患者作為研究對象, 所有患者均經DSA證實為顱內動脈瘤, 後採用3D TOF-MRA、CE-MRA觀察所有患者顱內磁共振影像結果, 對比三種檢查方案的診斷結果及應用特點.結果 CE-MRA確診顱內動脈瘤85例(98.84%), 3D TOF-MRA確診79例(91.86%), 兩種檢查方案確診結果與DSA診斷結果比較差異無統計學意義(P>0.05).結論 CE-MRA與3D TOF-MRA在顱內動脈瘤診斷方麵具有較高的診斷價值, 但對于微小動脈瘤患者3D TOF-MRA診斷能力較弱, 存在一定的誤診漏診現象, 應選擇CE-MRA進行檢查.
목적 대비삼유시간비약법자공진혈관성상(3D TOF-MRA)、증강자공진혈관성상(CE-MRA)급수자감영혈관조영(DSA)재로내동맥류진단중적응용효과.방법 86례로내동맥류환자작위연구대상, 소유환자균경DSA증실위로내동맥류, 후채용3D TOF-MRA、CE-MRA관찰소유환자로내자공진영상결과, 대비삼충검사방안적진단결과급응용특점.결과 CE-MRA학진로내동맥류85례(98.84%), 3D TOF-MRA학진79례(91.86%), 량충검사방안학진결과여DSA진단결과비교차이무통계학의의(P>0.05).결론 CE-MRA여3D TOF-MRA재로내동맥류진단방면구유교고적진단개치, 단대우미소동맥류환자3D TOF-MRA진단능력교약, 존재일정적오진루진현상, 응선택CE-MRA진행검사.
Objective To compare application effects of three-dimensional time-of-flight magnetic resonance angiography (3D TOF-MRA), contrast-enhanced magnetic resonance angiography (CE-MRA) and digital subtraction angiography (DSA) in diagnosis of intracranial aneurysm.Methods A total of 86 intracranial aneurysm patients as study subjects received DSA for verification. Their magnetic resonance images were observed by 3D TOF-MRA and CE-MRA. Diagnostic results and application characteristics of the three methods were compared.Results There were 85 intracranial aneurysm cases diagnosed by CE-MRA (98.84%) and 79 cases diagnosed by 3D TOF-MRA (91.86%). Compared with DSA results, there were no statistically significant differences of the two methods(P>0.05).Conclusion CE-MRA and 3D TOF-MRA provides highly diagnostic value for intracranial aneurysm, while 3D TOF-MRA is weaker in diagnosis of small aneurysms with misdiagnosis. Thus, CE-MRA is preferred in examination.