脑血管造影100例的临床分析  

Analysis of 100 cases of patients with digital substraction angiography

作　　者：许明芳[1] 曾令琼[1] 彭亚莉[1] 李光勤[1] 魏有东[1] 曾可斌[1] 秦新月[1] 王学峰[1] 

机构地区：[1]重庆医科大学附属第一医院神经内科,400016

出　　处：《重庆医学》2008年第18期2038-2039,共2页Chongqing medicine

摘　　要：目的分析100例怀疑存在脑血管病变患者的数字减影血管造影(DSA)结果。方法100例患者分别为脑梗死43例,蛛网膜下腔出血15例,短暂性脑缺血(TIA)11例,脑出血6例,头晕或眩晕16例,头痛7例,其他2例。所有患者均行全脑血管DSA检查,有高血压的患者加做肾动脉造影。结果52%的患者发现存在血管病变。脑梗死、TIA、头晕或眩晕患者发现血管狭窄分别为47%、27%、31%,狭窄主要位于颈动脉系统及颅外段;8例(60%)蛛网膜下腔出血患者发现存在动脉瘤;脑出血患者中1例存在动静脉瘘;头痛患者中1例存在动脉夹层。5%的患者DSA术后有轻微并发症或不良反应。结论DSA能准确评估血管状况,较为安全。Objective To analyse the results of digital substraction angiography（DSA）for patients who were suspected ot vascular disease. Methods One hundred cases including 43 patients with cerebral infarction, 15 cases with subarachnoid hemorrhage ,11 cases with TIA,6 cases with intracerebral hemorrhage, 16 cases with dizziness or vertigo, 7 cases with headache and 2 cases with other diseases. All patients underwent DSA of whole cerebral vessels. Patients with hypertension received renoarteriography additionally. Results Abnormal vessels exists in 52% of the total cases. The rate of angiostenosis in patients with cerebral infarction, TIA and dizziness or vertigo cases were 47% ,27% and 31% respectively. Stenosis mainly located in carotid artery system and extracranial segments. Aneurysm was found in 8 cases （60%）of patients with subaraehnoid hemorrhage. Arteriovenous fistula was found in 1 patient with intracerebral hemorrhage and dissection was found in 1 patient with headache. 5% patients suffered mild complication or adverse reaction after DSA. Conclusion DSA is an accurate and safe method to evaluate blood vessel.

关 键 词：数字减影血管造影 短暂性脑缺血 分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]