CTA在非高血压自发性脑内血肿诊断中的价值  

Diagnostic Value of Computed Tomographic Angiography （CTA） in the Non - hypertensive Spontaneous Intracerebral Hematoma

作　　者：陈汉民[1] 王文鑫[1] 余锦刚[1] 

机构地区：[1]解放军第180医院神经外科,福建泉州362000

出　　处：《解剖与临床》2012年第5期409-411,共3页Anatomy and Clinics

摘　　要：目的：探讨cT血管造影（CTA）在非高血压自发性脑内血肿中的诊断价值。方法：2009年12月～2011年11月我科收治非高血压自发性脑内血肿患者45例，采用64层螺旋CT进行CTA检查，对检查结果进行分析。结果：本组45例，CTA检查显示脑动静脉畸形（AVM）16例，颅内动脉瘤8例，烟雾病8例，无异常发现13例。脑AVM和动脉瘤病例均在手术或栓塞治疗中证实。烟雾病8例，经数字减影血管造影（DSA）和／或手术证实5例。结论：CTA是非高血压自发性脑内血肿病因诊断的首选方法，能为患者提供快速、准确的诊断，对制定治疗方案和指导手术具有重要作用。Objective： To explore the diagnostic value of CTA in non - hypertensive spontaneous intracerebral hematoma. Methods： Clinical data of 45 cases with non - hypertensive spontaneous intracerebral hematoma admitted to our department from December 2009 to November 2011 were retrospectively analyzed. Those patients were examined by 64 slice spiral CT for CTA. The examination results were analyzed. Results： 16 cases with cerebral arteriovenous malformation （AVM） were found out by CTA, 8 cases with intracranial aneurysms, 8 cases with Moyamoya diseases, and 13 patients were normal. The patients with AVM and intracranial aneurysms were confirmed by surgical operation or endovascular treatment. In the 8 cases with moyamoya diseases, five patients were confirmed by digital subtraction angiography （DSA） or surgery. Conclusions：CTA is the preferred method of etiological diagnosis of non - hypertensive spontaneous intracerebral hematoma. Patients can be diagnosed fast and accurately with CTA. CTA plays an important role in making treatment plans and guiding surgery.

关 键 词：脑内血肿 CT血管造影 脑动静脉畸形 颅内动脉瘤 烟雾病 

分 类 号：R651.12[医药卫生—外科学]