64排螺旋CT血管造影对颅内动脉瘤诊断中的价值  

Value of 64-slice spiral CT angiography in the diagnosis of intracranial aneurysm

作　　者：吕建广[1] 梁理娟 符伟平 曾凡猛[3] 梁亚明[3] 张丽丽[1] 尹志斌[1] 

机构地区：[1]广东省肇庆市第二人民医院影像科,广东肇庆526060 [2]广东省肇庆市第二人民医院超声科,广东肇庆526060 [3]广东省肇庆市第二人民医院神经外科,广东肇庆526060

出　　处：《中国当代医药》2018年第4期12-15,共4页China Modern Medicine

基　　金：广东省肇庆市科技创新指导类项目(00190531150428022)

摘　　要：目的探讨64排螺旋CT血管造影在颅内动脉瘤诊断中的应用价值。方法选取2016年5月~2017年3月我院收治的30例蛛网膜下腔出血患者作为研究对象,分别行CT血管造影、DSA检查。比较CT血管造影与DSA检查对颅内动脉瘤的检出率。结果 30例蛛网膜下腔出血患者经血管栓塞介入或手术证实颅内动脉瘤25例,其中CT血管造影检查诊断颅内动脉瘤23例,符合率为92%(23/25),DSA检查诊断颅内动脉瘤24例,符合率为96%(24/25)。两种检查方法在颅内动脉瘤诊断率的比较,差异无统计学意义(P>0.05)。结论 CT血管造影对颅内动脉瘤诊断具有较高的价值,在临床工作中值得深入推广。Objective To explore the application value of 64-slice spiral CT in the diagnosis of intracranial aneurysms. Methods 30 patients with subarachnoid hemorrhage chosen from May 2016 to March 2017 in our hospital were selected and underwent both CT angiography and DSA respectively.The detection rates of intracranial aneurysms of the CT angiography and DSA were eompared.Results In 30 cases of subarachnoid hemorrhage,25 cases were proved intracranial aneurysms by vascular embolization or operation.23 cases of intracranial aneurysms were diagnosed by CT angiography,and the coincidence rate of intracranial aneurysms was 92% （23/25）.24 cases of intracranial aneurysms were diagnosed by DSA,the coincidence rate was 96% （24/25）.There was no significant difference in the diagnostic rate between the two methods in intraeranial aneurysms （P〉0.05）.Conclusion CT angiography has high value in the diagnosis of intracranial aneurysms and deserves further promotion in clinical practice.

关 键 词：颅内动脉瘤 蛛网膜下腔出血 CT血管造影 血管造影术 数字减影 

分 类 号：R739.41[医药卫生—肿瘤]