螺旋CT三维血管成像对重型颅脑损伤术前评估的临床研究  

Spiral CT angiography for clinical evaluation of severe craniocerebral trauma before operation

作　　者：鲁德忠[1] 陆环[2] 杨春燕[1] 逯德胜[1] 赵永峰[1] 贺志刚[1] 柳琛[3] 

机构地区：[1]石河子市人民医院神经外科,新疆石河子832000 [2]石河子大学医学院人体解剖学教研室,新疆石河子832000 [3]新疆医科大学第一附属医院神经外科,新疆乌鲁木齐830054

出　　处：《中华神经外科疾病研究杂志》2015年第2期134-137,共4页Chinese Journal of Neurosurgical Disease Research

基　　金：新疆生产建设兵团卫生局基金资助项目(2013)

摘　　要：目的探讨螺旋CT三维血管成像(CTA)对重型颅脑创伤的术前评估。方法对34例重型颅脑损伤患者术前及术后动态行螺旋CTA检查。结果重型颅脑损伤后CTA显示脑血管主要发生以下变化:血管移位、动脉痉挛或闭塞、动脉穿支减少、大脑浅静脉狭窄或闭塞及脑深静脉狭窄或闭塞。CTA显示以血管移位或狭窄为主者,手术疗效良好;大动脉痉挛或闭塞者手术疗效预后差;大脑深静脉闭塞者,手术疗效极差。大脑浅静脉的狭窄或闭塞反映了颅内压的变化。结论 CTA可用于重型颅脑损伤的术前评估,为判定手术疗效及预后提供影像学依据。Objective The role of spiral CT angiography （CTA） on the evaluation of severe eraniocerebral trauma before operation is discussed. Methods A total of 34 patients with severe craniocerebral trauma were performed CTA before and after operation. Results CTA after severe traumatic brain injury showed vascular displacement, arterial spasm or occlusion, perforator artery decreased, superficial cerebral vein stenosis or occlusion and cerebral deep vein stenosis or occlusion. For patients with vascular displacement or stenosis, good surgical effect was obtained; for patients with arterial spasm or occlusion, the prognosis was poor after operation; for deep cerebral venous occlusion, surgical results were worst. Superficial cerebral vein stenosis or occlusion reflected the changes of intracranial pressure. Conclusion CTA can be used for assessment of severe craniocerebral trauma before operation to provide the imaging evidence for judging the prognosis.

关 键 词：螺旋CT 三维血管成像 重型颅脑损伤 术前评估 

分 类 号：R651.15[医药卫生—外科学] R814.43[医药卫生—临床医学]