三维CT血管造影诊断微小颅内动脉瘤的价值观察  

Significance of 3D CT angiography in diagnosing small intracranial aneurysms

作　　者：王三锋 王筱璇 WANG San-feng;WANG Xiao-xuan(Department of Imaging,Jingyang County Hospital,Xianyang 713700,China;Department of Imaging,Xi＇an Honghui Hospital,Xi＇an 710054,China)

机构地区：[1]陕西省咸阳市泾阳县医院影像科,咸阳713700 [2]陕西省西安市红会医院影像科,西安710054

出　　处：《中国肿瘤临床与康复》2018年第11期1357-1359,共3页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：陕西省教委基金(12JK7D3)

摘　　要：目的探讨三维CT血管造影(3D-CTA)诊断微小颅内动脉瘤的价值。方法选取2014年8月至2017年8月间西安市红会医院收治的62例颅内动脉瘤破裂出血的患者,入院3d内均行3D-CTA检查和三维全脑数字减影血管造影(3D-DSA)检查。对比两种检查方法的诊断价值。结果 3D-CTA和3D-DSA对单发动脉瘤、两个动脉瘤的检出例数、不同直径动脉瘤、不同部位动脉瘤、瘤体最大径和瘤体颈宽的诊断结果比较,差异均无统计学意义(P> 0. 05)。结论 3D-CTA诊断效率与3D-DSA相当,临床应用价值较高,可为临床微小颅内动脉瘤的诊断提供参考。Objective To explore the value of three-dimensional CT angiography（ 3D-CTA） in the diagnosis of small intracranial aneurysms. Methods A total of 62 patients with ruptured intracranial aneurysm admitted to Xi＇an Honghui Hospital from August 2014 to August 2017 were selected and studied. All patients underwent 3D-CTA examination within 3 d after the admission,and then the parallel three-dimensional digital subtraction angiography（ 3D-DSA） was performed. The diagnostic value of the two methods was compared. Results There was no statistical significant difference in the results of diagnostic tests for single aneurysm,The number of cases detected for two aneurysms,aneurysms with different sizes,aneurysms in different locations,maximum diameter of the tumors and neck widths between 3D-CTA and 3DDSA（ P〉0. 05）. Conclusion The Diagnostic efficiency of 3D-CTA is comparable to that of 3D-DSA,and the clinical application value is relatively high,which can provide a reference for the diagnosis of small intracranial aneurysms.

关 键 词：三维CT血管造影 微小颅内动脉瘤 诊断价值 

分 类 号：R739.41[医药卫生—肿瘤]