颅内微小动脉瘤3D-DSA的临床应用价值  

Application value of DSA three dimensional reconstruction in small intracranial aneurysms

作　　者：苗增利[1] 张敬 鲁晓杰[1] 蔺玉昌[1] 徐幸[1] 江力[1] 陈开来[1] 

机构地区：[1]南京医科大学附属无锡二院神经外科,江苏省214002 [2]武进人民医院神经外科

出　　处：《江苏医药》2014年第2期201-204,共4页Jiangsu Medical Journal

摘　　要：目的探讨颅内微小动脉瘤三维数字减影血管照影(3D-DSA)重建的临床价值。方法回顾性分析利用3D-DSA脑血管造影确诊的13例微小动脉瘤(直径<5mm)患者诊断及治疗资料。结果 13例中,前交通动脉动脉瘤5例,后交通动脉动脉瘤4例,颈内动脉动脉瘤1例,椎动脉动脉瘤3例。介入治疗4例,均完全闭塞;夹闭6例;3例保守治疗。无术中破裂或死亡病例。结论对于颅内微小动脉瘤,3D-DSA能增加其检出率,对手术评估及治疗有着重要的临床意义。Objective To explore the application value of three dimensional digital subtraction angiography（3D-DSA） reconstruction in small intracranial aneurysms. Methods Data of 13 cases with intracranial small aneurysms（less than 5 mm in diameter） were retrospectively analyzed, who were diagnosed by 3D-DSA cerebrovascular angiography and treated with invasive surgery. Results Of 13 cases, 5 cases had anterior communicating aneurysms, 4 cases posterior communicating aneurysms, 1 case internal carotid aneurysm, and 3 cases vertebral artery aneurysms. A complete embolization was performed in 4 cases,aneurysm occlusion in 6 cases, conservative treatment in 3 cases. There was no case of intraoperative rupture or death. Conclusion 3D-DSA can increase the detection rate of small intracranial aneurysm and is valuable in the evaluation and treatment of small intracranial aneurysms.

关 键 词：颅内微小动脉瘤 三维数字减影血管照影 

分 类 号：R651[医药卫生—外科学]