CAJ | 학술논문

目的探讨双血管融合技术在硬脑膜动静瘘(dural arteriovenous fistula,DAVF)诊断和手术计划中的应用价值,指导术中准确找到瘘口.方法在10例DAVF病例采用平板DSA行选择性全脑血管造影,病变血管行三维血管成像.在三维工作站采用“双容积重建”技术进行两支血管三维像的融合,研究DAVF的血管构筑.结果在10例均获得满意的“双血管融合”,具有很好的空间一致性.在双血管融合图像上可以清晰看到来自不同供血动脉的血流汇流到同一瘘口和引流静脉(表现为红白相间的血流融合),可以清晰判断瘘口的部位和形态,指导选择治疗策略、设计外科手术和介入手术计划.结论基于平板DSA三维血管数据的“双血管融合”可以获得准确的血管融合,更清晰地显示瘘口、供血动脉、引流静脉等DAVF的血管构筑学信息,最终有益于治疗外科手术计划.
목적 탐토쌍혈관융합기술재경뇌막동정루(dural arteriovenous fistula,DAVF)진단화수술계화중적응용개치,지도술중준학조도루구.방법 재10례DAVF병례채용평판DSA행선택성전뇌혈관조영,병변혈관행삼유혈관성상.재삼유공작참채용“쌍용적중건”기술진행량지혈관삼유상적융합,연구DAVF적혈관구축.결과 재10례균획득만의적“쌍혈관융합”,구유흔호적공간일치성.재쌍혈관융합도상상가이청석간도래자불동공혈동맥적혈류회류도동일루구화인류정맥(표현위홍백상간적혈류융합),가이청석판단루구적부위화형태,지도선택치료책략、설계외과수술화개입수술계화.결론 기우평판DSA삼유혈관수거적“쌍혈관융합”가이획득준학적혈관융합,경청석지현시루구、공혈동맥、인류정맥등DAVF적혈관구축학신식,최종유익우치료외과수술계화.
Objective To investigate the application values of dual vessel fusion technique in the diagnosis of dural arteriovenous fistula (DAVF) and surgical planning.Methods Ten patients with DAVF underwent selective cerebral angiography using plate digital subtraction angiography (DSA).The lesion vessels performed three-dimensional angiography.The "double volume reconstruction" technique was used to perform two-vessel three-dimensional image fusion at the three-dimensional workstation.The angioarchitecture of DAVF was investigated.Results Ten patients obtained satisfactory "dual vessel fusion" with a good spatial coherence.On the dual vessel fusion images,the blood flow from different feeding arteries flowed together into the same fistula and draining vein (presented as a fusion of red and white blood flow) and the location and shape of the fistula cold be identified clearly.It could be used to guide the choice of treatment strategy,design surgery and surgical intervention plan.Conclusions Based on the "dual vessel fusion" of fiat panel DSA three-dimensional vascular data,it can obtain accurate vascular fusion,more clearly reveal fistulas,feeding arteries,draining veins and other angioarchitecture information of DAVF,and ultimately be beneficial to the development of surgical planning.