颅内动脉瘤诊断中应用CTA、DSA的对比分析  

Comparative Analysis of CTA and DSA in Diagnosis of Intracranial Aneurysms

作　　者：蔡美花[1] 郭建榕[1] CAI Meihua;GUO Jianrong(The First Hospital of Longyan City,Longyan 364000,China)

机构地区：[1]龙岩市第一医院,福建龙岩364000

出　　处：《中外医学研究》2020年第30期71-72,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较颅内动脉瘤诊治中应用CTA、DSA的诊断结果。方法:选取笔者所在医院2016年1月-2019年12月收治的颅内动脉瘤患者60例,患者经外科手术病理探查及血管内介入栓塞治疗证实共70个动脉瘤,单发动脉瘤55个,多发动脉瘤15个。以CTA、DSA检查,对比不同部位动脉瘤、不同直径动脉瘤诊断结果准确率及动脉瘤检出率。结果:DSA不同部位动脉瘤检查总准确率(97.14%)高于CTA(81.82%),差异有统计学意义(P<0.05);DSA不同直径动脉瘤检查总准确率(97.14%)高于CTA(81.43%),差异有统计学意义(P<0.05)。结论:颅内动脉瘤诊治中应用CTA检查、DSA检查,皆能够为临床诊断提供参考依据。其中,DSA检出率最高,对不同部位、不同直径动脉瘤检出结果准确率更高。Objective:To compare the diagnosis results of CTA and DSA in the diagnosis and treatment of intracranial aneurysms.Method:A total of 60 patients with intracranial aneurysms admitted in our hospital from January 2016 to December 2019 were selected.A total of 70 aneurysms,55 single aneurysms and 15 multiple aneurysms were confirmed by surgical pathological examination and endovascular embolization.CTA and DSA were used to compare the diagnostic accuracy and detection rate of aneurysms with different sites and diameters.Result:The total accuracy rate of DSA in different aneurysm examination sites (97.14%) was higher than that of of CTA (81.82%),the difference was statistically significant (P<0.05).The total accuracy of DSA (97.14%) in different diameter was higher than CTA (81.43%),the difference was statistically significant (P<0.05).Conclusion:The application of CTA examination and DSA examination in the diagnosis and treatment of intracranial aneurysms can provide a reference for clinical diagnosis.Among them,the detection rate of DSA is the highest,and the accuracy of the detection results of aneurysms of different locations and different diameters is higher.

关 键 词：颅内动脉瘤 CTA检查 DSA检查 

分 类 号：R743[医药卫生—神经病学与精神病学]