128层螺旋CTA成像在颅内动脉瘤手术中的临床指导价值  

Clinical value of 128-slice-spiral-CTA in treatment of patients with intracranial aneurysms operation

作　　者：蒋会东[1] 孟庆涛[1] 李军[1] 赵家年[1] 刘文景[1] 

机构地区：[1]安徽省滁州市第一人民医院CT室,安徽滁州239001

出　　处：《实用临床医药杂志》2014年第1期119-121,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨128层螺旋CT血管造影(CTA)在颅内动脉瘤术前诊断及术后评价中的作用。方法 53例患者均行128层螺旋CTA检查,根据多层螺旋CT血管造影(MSCTA)检查结果选择手术方式,并在术后行CTA复查。通过2次结果比较,评价动脉瘤夹闭或栓塞情况。结果 53例患者共检出64个动脉瘤,其中多发动脉瘤10例;术前MSCTA可清楚地显示动脉瘤位置、大小形态及与周围结构的关系;术后CTA显示动脉瘤夹的位置及数量、动脉瘤体残留情况和载瘤动脉与动脉夹之间的关系。结论 128层螺旋CTA在颅内动脉瘤术前诊断及术后随访中具有重要的临床指导价值。Objective To explore the role of 128-slice-spiral-CTAin the preoperative diagnosis and the postoperative evaluation of patients with intracranial aneurysms. Methods 53 patients were conducted with 128-slice-CTA scan, and the operation model was decided according to result of MSCAT. Conditions of aneurysms and thrombosis were evaluated. Results 64 aneurysms were detected in 53 patients, including 10 cases of multiple aneurysms. Preoperative MSCTA were able to show the location, size and shape of the aneurysm and the relationship with surrounding structures. Postoperative CTA was able to show the quantity and location of the aneurysm clip, the situation of residual aneurysms and relationship between artery with aneurysm and arterial clip.Conclusion 128-slice-spiral-CTA plays an important clinical value in the preoperative diagnosis and postoperative follow-up of patients with intracranial aneurysm surgery.

关 键 词：颅内动脉瘤 体层摄影术 血管造影 

分 类 号：R739.41[医药卫生—肿瘤]