CAJ | 학술논문

目的：探讨320排螺旋CT三维血管造影（3D-CTA）在动脉瘤性自发性蛛网膜下腔出血（SAH）中的应用价值。方法选择SAH患者58例作为研究对象，均行320排3D-CTA检查，并根据数字减影血管造影（DSA）及手术结果进行回顾性分析。结果58例SAH患者检查出颅内动脉瘤56例，均经DSA及手术确诊，其中单发动脉瘤51例，存在2个动脉瘤的5例。另2例SAH患者3D-CTA及DSA均未发现颅内动脉瘤。结论320排3D-CTA用于诊断SAH病因准确率极高、安全无创、且操作简便成像快速，为临床医师选择治疗及手术方案提供了可靠的依据，势必会成为检查和排除颅内动脉瘤的主要手段。
목적：탐토320배라선CT삼유혈관조영（3D-CTA）재동맥류성자발성주망막하강출혈（SAH）중적응용개치。방법선택SAH환자58례작위연구대상，균행320배3D-CTA검사，병근거수자감영혈관조영（DSA）급수술결과진행회고성분석。결과58례SAH환자검사출로내동맥류56례，균경DSA급수술학진，기중단발동맥류51례，존재2개동맥류적5례。령2례SAH환자3D-CTA급DSA균미발현로내동맥류。결론320배3D-CTA용우진단SAH병인준학솔겁고、안전무창、차조작간편성상쾌속，위림상의사선택치료급수술방안제공료가고적의거，세필회성위검사화배제로내동맥류적주요수단。
ObjectiveTo explore the application value of 320-slice three-dimensional CTA technique in aneurysmal spontaneity Subarachnoid Hemorrhage(SAH).Methods58 patients with SAH is chosen as the research object,all do 320-slice 3d-CTA examination,And according to the results of Digital Subtraction Angiography(DSA)and operation were retrospectively analyzed.Results58 patients with SAH were completed 320-slice 3d- CTA examination,Check out of 56 patients with intracranial aneurysm,were diagnosed by DSA and surgery. Single aneurysm 51 cases,There are 2 aneurysms in 5 cases. The other 2 cases of SAH patients with 3d-CTA and DSA are found no intracranial aneurysm.Conclusion320-slice 3d-CTA For diagnosing SAH cause very high accuracy、Safe noninvasive、Imaging fast and easy to operate,for clinicians to choose treatment and surgery to provide reliable basis,is bound to become a major means of Checking and excluding intracranial aneurysm.