数字减影血管造影血管三维重建放大技术在颅内微小动脉瘤诊疗中的应用  

The application of digital subtraction angiography three-dimensional reconstruction and amplifying technique of blood vessels in diagnosis and treatment of intracranial microaneurysm

作　　者：文自祥[1] 张健[1] 韩志安[1] 李晓群[1] 刘辉来[1] 张勇[1] 李记华[1] 

机构地区：[1]广东省中山市人民医院,528403

出　　处：《实用医技杂志》2012年第6期583-584,共2页Journal of Practical Medical Techniques

摘　　要：目的探讨数字减影血管造影(DSA)血管三维重建放大技术在颅内微小动脉瘤诊疗中的应用价值。方法行DSA脑血管造影检查疑似颅内动脉瘤破裂患者158例,利用三维重建及重建放大技术,使微小动脉瘤的载瘤动脉显示更清晰,使瘤颈、瘤体的生长方向显示更理想。结果 158例患者共发现194个动脉瘤,其中发现长径在3 mm以下的微小动脉瘤68个,分别采取了栓塞、手术夹闭、定期观察等治疗方案。结论 DSA血管三维重建放大技术能够清楚显示颅内微小动脉瘤的载瘤动脉和瘤颈、瘤体等结构,对颅内微小动脉瘤的诊断、治疗有重要的应用价值。Objective To explore the application value of digital subtraction angiography three-dimensional reco- nstruction and amplifying technique of blood vessels in the diagnosis and treatment of intracranial microaneurysm. Methods One hundred and fifty-eight patients with ruptured intracranial aneurysm were underwent digital subtraction angiography （DSA） intracranial angiography. With the usage of digital subtraction angiography three-dimensional reconstruction and amplifying technique of blood vessels, the aneurysm and parent artery were clearly shown and the aneurysm neck and growth direction of aneurysm body were clearly displayed. Results One hundred and ninety-four aneurysms were found in 158 patients, including 68 microaneurysms which major diameter were less than 3 mm. Embolism, surgical clipping and periodically observation were applied in treating these aneurysms. Conclusion Digital subtraction angiography three-dimensional reconstruction and amplifying technique of blood vessels could clearly show the parent artery, neck and body of intracranial microaneurysm. It is of great application value in the diagnosis and treatment of intracranial microaneurysm.

关 键 词：脑血管造影术 血管造影术 数字减影 颅内动脉瘤 

分 类 号：R743[医药卫生—神经病学与精神病学]