CAJ | 학술논문

目的：探讨3D-CTA容积再现技术在颅内占位性病变诊断治疗中的应用。方法采用回顾性分析法，随机选取2012年3月-2015年4月在该院接受治疗的100例颅内占位性病变患者的临床资料，将100例患者随机分为两组，对照组和观察者，每组各50例。对照组患者采用传统DSA技术检测患者颅内占位性病变，观察组患者采用3D-CTA容积再现技术进行检测，分析两组患者血管情况、术中出血量、栓塞发生率及供血血管供血区发生缺血的情况等。结果经过诊断发现，观察组患者并发症发生率明显低于对照组，经统计学比较，差异有统计学意义（P<0.05）；观察组颅内占位性病变诊断灵敏度和符合率与对照组相比没有明显的差异，经统计学比较，差异无统计学意义（P>0.05）。结论3D-CTA容积再现技术应用于颅内占位性病变诊断治疗具有很好的效果，能够有效的指导手术准确定位、保护重要血管并减少手术出血风险，模拟最佳手术入路，为外科手术治疗减少创伤及提高手术安全性。
목적：탐토3D-CTA용적재현기술재로내점위성병변진단치료중적응용。방법채용회고성분석법，수궤선취2012년3월-2015년4월재해원접수치료적100례로내점위성병변환자적림상자료，장100례환자수궤분위량조，대조조화관찰자，매조각50례。대조조환자채용전통DSA기술검측환자로내점위성병변，관찰조환자채용3D-CTA용적재현기술진행검측，분석량조환자혈관정황、술중출혈량、전새발생솔급공혈혈관공혈구발생결혈적정황등。결과경과진단발현，관찰조환자병발증발생솔명현저우대조조，경통계학비교，차이유통계학의의（P<0.05）；관찰조로내점위성병변진단령민도화부합솔여대조조상비몰유명현적차이，경통계학비교，차이무통계학의의（P>0.05）。결론3D-CTA용적재현기술응용우로내점위성병변진단치료구유흔호적효과，능구유효적지도수술준학정위、보호중요혈관병감소수술출혈풍험，모의최가수술입로，위외과수술치료감소창상급제고수술안전성。
Objective To investigate the effect of 3D-CTA volume rendering technique (VRT) in the diagnosis and treatment of in-tracranial space-occupying lesions. Methods A retrospective analysis was performed on the clinical data of 100 patients with in-tracranial space-occupying lesions admitted to our hospital between March 2012 and April 2015. They were randomized into con-trol group and observation group with 50 patients in each one receiving detection by traditional digital subtraction angiography (DSA) or 3D-CTA volume rendering technique. The vascular condition, intraoperative blood loss, incidence of embolism and is-chemia of blood supply region in supplying vessels were compared between the two groups. Results The result of diagnosis showed that the complication rate was lower in the observation group than in the control group with statistically significant difference, P<0.05; no statistically significant difference can be found between the two groups regarding diagnostic sensitivity and coincidence rate, P>0.05. Conclusion 3D-CTA volume rendering technique (VRT) in the diagnosis and treatment of intracranial space-occupy-ing lesions shows good effect, which can provide guidance for surgical localization, protect important blood vessels, reduce the risk of surgical bleeding, optimize operation approach, reduce surgical trauma and improve the operation safety.