颅骨数字减影在颅内动脉瘤血管内治疗术后随访中的应用  

The application of skull digital radiography during the follow-up after endovascular treatment of intracranial aneurysms

作　　者：温志锋[1] 吴鹏飞[1] 梁传声[1] 王运杰[1] 臧培卓[1] 潘起晨[1] 

机构地区：[1]中国医科大学附属第一医院神经外科,沈阳110001

出　　处：《中国现代神经疾病杂志》2015年第2期137-141,共5页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：辽宁省高等学校优秀人才支持计划项目(项目编号:LJQ2013085)~~

摘　　要：目的探讨颅骨数字减影在颅内动脉瘤血管内治疗术后随访中的应用。方法共43例颅内动脉瘤患者行血管内弹簧圈栓塞或弹簧圈栓塞辅助支架成形术,术后3个月行正侧位颅骨数字减影和全脑血管造影术,观察弹簧圈位置、形态及动脉瘤是否复发。结果 43例患者中前交通动脉动脉瘤14例、后交通动脉动脉瘤17例、大脑中动脉动脉瘤5例、基底动脉尖端动脉瘤5例和小脑后下动脉动脉瘤2例。术后3个月时,颅骨数字减影与全脑血管造影术检查一致性约为97.67%(42/43),所显示复发率分别为2.33%(1/43)和4.65%(2/43),两种检查方法术后随访准确度差异无统计学意义(χ2=0.345,P=0.955)。结论颅骨数字减影用于颅内动脉瘤血管内治疗术后随访的准确度较高且安全有效。Objective To investigate the application of skull digital radiography （DR） during the follow-up after endovascular treatment of intracranial aneurysms. Methods Forty-three patients with intraeranial aneurysms underwent endovascular coil embolization or stent angioplasty assisted by coil embolization. Three months later, they underwent skull DR and digital subtraction angiography （DSA） to observe the location and morphology of coils and whether there was recurrence of aneurysms. Results Among 43 patients, there were 14 cases of anterior communicating artery aneurysms, 17 cases of posterior communicating artery aneurysms, 5 cases of middle cerebral artery aneurysms, 5 cases of basilar artery aneurysms and 2 cases of posterior inferior cerebellar artery aneurysms. The coincidence of skull DR and DSA in detecting the form of coils was about 97.67% （42/43）. DSA found 2 cases had recurrence, while skull DR found only one case with recurrence. There was no statistical difference between the two methods （X^2= 0.345, P = 0.955）. Conclusions Skull digital radiography is a safe and effective method with high accuracy in the follow-up examination after endovaseular treatment of aneurysms.

关 键 词：颅内动脉瘤 栓塞 治疗性 支架 血管造影术 数字减影 

分 类 号：R651.1[医药卫生—外科学]