多层CT血管造影对超早期大面积脑梗塞的诊断作用  

Multi-slice CT angiography in the evaluation of patients with hyperacute cerebral infarction

作　　者：孙庚喜 吴洁莹 昌爱武 王安民 

机构地区：[1]广东省广州市番禺区何贤纪念医院放射科,广东广州511400

出　　处：《海南医学》2006年第10期12-13,共2页Hainan Medical Journal

基　　金：广州市番禺区医疗卫生科技计划项目;项目编号:2005-ZJ-24-1

摘　　要：目的评价多层CT血管造影(MS-CTA)对超早期大面积脑梗塞的诊断作用。方法临床怀疑超早期(出现症状6小时内)大面积脑梗塞的病人20例,均在CT平扫后进行CTA检查。结果20例病人MS-CTA都得到了可以达到诊断目的的高质量动脉图像。在所有影像和临床随访证实为非腔隙性脑梗塞的13例中,MS-CTA均看到了潜在的血管病变。结论对于急性早期大面积脑梗塞的病例,MS-CTA是迅速和综合评价脑血管的有力手段。Objective To evaluate the suitability of multi-slice CTA （MS-CTA） for patients with hyperacute cerebral infarction, Material and Methods 20 patients with clinically suspected hyperacute cerebral infarction. underwent CTA in a MS-CT scanner after no contrast scan. All findings were reviewed for stenoses or occlusion of the intracranial artery, Results In all patients, MS-CTA intracranial CVS yielded images of diagnostic quality with comprehensive visualization of the arterial CVS including the third segment of the major cerebral arteries, In all patients, in whom imaging and clinical follow-up proved a non-lacunar infarction （n=13）, MSCTA detected the underlying vascular pathology, Conclusions Multi-slice CT angiography may be a new diagnostic tool for the rapid and comprehensive assessment of the intracranial CVS in patients with clinical signs of hyperacute cerebral infarction.

关 键 词：血管造影 多层CT 超早期脑梗塞 

分 类 号：R814.43[医药卫生—影像医学与核医学]