3D-DSA在脑血管疾病诊断中的应用价值  

The value of three-dimension digital subtraction angiography in cerebrovascular diseases

作　　者：刘康[1] 缪南东[1] 任勇军[1] 徐浩[1] 闵旭立 杨林[1] 张小明[1] 

机构地区：[1]医学影像四川省重点实验室川北医学院附属医院放射科,四川南充637000

出　　处：《川北医学院学报》2015年第1期73-76,共4页Journal of North Sichuan Medical College

基　　金：四川省卫生厅项目(090138)

摘　　要：目的:探讨三维数字减影血管造影(three-dimension digital subtraction angiography,3D-DSA)在脑血管疾病诊断中的应用价值。方法:对临床怀疑脑血管疾病患者208例,同时进行常规DSA(2D-DSA)和3D-DSA检查,并对结果进行对比分析。结果:208例中,检出动脉瘤128例,脑动脉狭窄或闭塞29例,动静脉畸22例,烟雾病10例,脑肿瘤4例。2D-DSA病变检出率80.3%(167/208);3D-DSA病变检出率92.8%(193/208);两组检出率差异具有统计学意义(P<0.05)。结论:3DDSA在脑血管疾病诊断中具有重要的应用价值,是2D-DSA的优化和补充。Objective：To study the value of three-dimension digital subtraction angiography （3D-DSA） in cerebrovaseular dis- eases. Methods：A retrospective analysis of 208 patients who underwent both 2D-DSA and 3D-DSA for evaluation of previously untreat- ed cerebrovascular diseases was conducted. The data of 2D-DSA and 3D-DSA images were analyzed. Results：Among the 208 patients, there are 128 patients with artery aneurysm,and 29 with artery stenosis or obstruction,22 with AVM,10 with moyamoya disease and 4 intracranial tumors. The detection rate of 2D-DSA is 80.3% ,while the rate of 3D-DSA is 92.8%. This difference was significant in sta- tistics （ P 〈 0.05 ）. Conclusion ：Three-dimension DSA plays an important role in diagnosis and treatment of cerebrovascular diseases, and is an optimized and complemental imaging technique of 2D-DSA.

关 键 词：三维数字减影血管造影 脑动脉瘤 临床诊断 脑血管疾病 

分 类 号：R743[医药卫生—神经病学与精神病学]