多层螺旋CT血管成像、DSA在脑血管畸形病变中的应用初探  

Application of multislice spiral CT angiography and DSA in cerebrovascular malformation

作　　者：郑巍[1] 罗强[1] Zheng Wei;Luo Qiang(Department of Radiology,Jiangxi Children's Hospital,Nanchang 330006,China)

机构地区：[1]江西省儿童医院放射科,江西南昌330006

出　　处：《四川生理科学杂志》2022年第1期50-53,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:研究多层螺旋CT血管成像、DSA在脑血管畸形病变中的应用价值。方法:选取本院2018年10月-2021年10月收治疑似脑血管畸形患者112例,对比多层螺旋CT血管成像、DSA图像质量、多层螺旋CT血管成像对脑畸形患者检查结果的准确度、灵敏度、特异度、及患者对多层螺旋CT血管成像CT、DSA满意度。结果:多层螺旋CT血管成像CT、DSA图像评分质量比较无差异(P>0.05);以DSA检查确诊70例脑畸形患者为对照,多层螺旋CT血管成像确诊为64例,漏诊误诊为6例,准确度为92.85%。多层螺旋CT血管成像诊断灵敏度特异度分别为88.57%、95.23%,多层螺旋CT血管成像患者满意度(94.28%)高于DSA检查(80.00%)(P<0.05)。结论:多层螺旋CT血管成像诊断脑血管畸形率与DSA相近,患者检查满意度高,值得在临床推广。Objective:To study the application value of multislice spiral CT angiography and DSA in cerebral vascular malformation.Methods:A total of 112 patients with suspected cerebral vascular malformation admitted to our hospital from October 2018 to October 2021 were selected to compare the accuracy,sensitivity and specificity of MSCT angiography,DSA image quality,MSCT angiography in the examination results of patients with cerebral malformation,and patients'satisfaction with MSCT angiography,CT and DSA.Results:There was no difference in the score quality between CT and DSA of MSCT angiography(P>0.05).Seventy patients with cerebral malformation were confirmed by DSA examination as control,64 were confirmed by MSCT angiography,and 6 were missed and misdiagnosed,with accuracy of 92.85%.The diagnostic sensitivity and specificity of MSCT angiography were 88.57% and 95.23%,respectively.Patients'satisfaction with MSCT angiography(94.28%)was higher than that with DSA(80.00%)(P<0.05).Conclusion:The rate of MSCT angiography in the diagnosis of cerebrovascular malformation is similar to that of DSA.

关 键 词：脑血管畸形 多层螺旋CT血管成像 DSA 诊断 

分 类 号：R74[医药卫生—神经病学与精神病学]