64排螺旋CT血管成像在脑AVM术后评价的应用研究  

Postoperative Evaluation of Brain AVM with the 64-row Spiral CT Augiography

作　　者：关国信 程彦 张永生 王岩 翁志蓬 刘海平 黄正旺 郑晓昀 李强 名强 

机构地区：[1]广东同江医院,广东佛山528300

出　　处：《中国医学创新》2015年第25期44-47,共4页Medical Innovation of China

基　　金：2012年度佛山市顺德区科研立项课题项目(2012116)

摘　　要：目的:探讨64排螺旋CT血管成像(CTA)在脑动静脉畸形(AVM)术后评价的应用价值。方法:39例脑AVM患者,术前均完善CTA检查,术后1周行CTA随访,术后1个月行DSA随访,由放射科医师与神经外科医师对术后CTA进行共同阅片,并与术前CTA及术后DSA进行对比分析。结果:CTA显示39例脑AVM均为单发,均行开颅切除,4例使用了动脉夹辅助;CTA对脑AVM术后残留评价的敏感度和准确度分别为100%、97.4%,DSA对脑AVM术后残留评价的敏感度和准确度均为100%,两者的诊断敏感度和准确度比较,差异无统计学意义(P>0.05)。结论:应用CTA与DSA对脑AVM术后评价,CTA更为安全、方便,可作为首选方法。Objective： To study the value of 64-row spiral CT Augiography （ CTA ） in postoperative of brain AVM. Method： 39 patients with brain AVM were completed the CTA examination of preoperative, and they all completed the CTA examination of postoperative review after f week, complete the DSA examination of postoperative review after 1 month, and to compare the images together by radiologists and neurosurgeons. Result： 39 patients with brain AVM were single, and removal of by craniotomy, 4 cases used the artery clamp in surgery; The postoperative residual of brain AVM that the sensitivity and accuracy of CTA was 100% and 97.4% respectively, and the sensitivity and accuracy of DSA was both 100%. There was no significant difference in the diagnostic sensitivity and accuracy （ P〉0.05 ） . Conclusion： For application of cerebral AVM postoperative evaluation results of CTA and DSA, the CTA is more safe, convenient, can be used as the preferred method.

关 键 词：脑AVM 体层摄影术 X线计算机 血管造影术 术后评价 

分 类 号：R743.4[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]