多层螺旋CT血管造影对颅内脑动脉瘤的诊断价值研究  

Value of Multi-slice Spiral CT Angiography in the Diagnosis of Intracranial Intracranial Aneurysm

作　　者：乔龙虎 贺莉 王超 QIAO Long-hu;HE Li;WANG Chao(Bozhou Hospital of Traditional Chinese Medicine,Bozhou 236800,Anhui Province,China)

机构地区：[1]亳州市中医院,安徽亳州236800

出　　处：《中国CT和MRI杂志》2024年第4期26-27,共2页Chinese Journal of CT and MRI

基　　金：高分辨CT扫描结合迭代重建技术在冠状动脉支架评估中的应用(XM_HRYXFN20210524)。

摘　　要：目的探讨多层螺旋CT在诊断颅内脑动脉瘤的诊断价值。方法选取2020年3月-2023年3月亳州市中医院收治的接受手术治疗的78例颅内动脉瘤患者,术前均接受数字减影血管造影(DSA)检查和多层螺旋CT检查(MSCTA),对比DSA和MSCTA在颅内脑动脉瘤的瘤体直径、瘤颈宽度、动脉瘤位置、图像质量分级情况。结果DSA和MSCTA在颅脑动脉瘤体直径、瘤体宽度差异无统计学意义(P>0.05);DSA和MSCTA在诊断大脑中动脉、大脑前动脉、前交通动脉、大脑后动脉、后交通动脉、椎动脉、颈内动脉、基底动脉的颅脑动脉瘤体数量差异无统计学意义(P>0.05);两种检测方法均有高质量的图像分级差异无统计学意义(P>0.05)。结论MSCTA和DSA在诊断颅内脑动脉瘤大小、位置方面均具有良好的价值,MSCTA创伤小、检查时间短、检查费用低,可作为DSA诊断颅内脑动脉瘤的替代检查方法。Objective To explore the diagnostic value of multi-slice spiral CT in the diagnosis of intracranial Intracranial aneurysm.Methods From March 2020 to March 2023,78 patients with intracranial aneurysms who received surgical treatment in Bozhou Hospital of Traditional Chinese Medicine were selected.Before surgery,they all received digital subtraction angiography(DSA)and multislice spiral CT(MSCTA).Results There was no significant difference between DSA and MSCTA in the diameter and width of intracranial aneurysms(P>0.05);There was no significant difference in the number of intracranial aneurysms between DSA and MSCTA in the diagnosis of middle cerebral artery,anterior cerebral artery,Anterior communicating artery,posterior cerebral artery,posterior communicating artery,vertebral artery,internal carotid artery and basilar artery(P>0.05);Both detection methods achieved high-quality image grading with no statistically significant difference(P>0.05).Conclusion MSCTA and DSA have good value in diagnosing the size and location of intracranial Intracranial aneurysm.MSCTA has the advantages of small trauma,short examination time and low examination cost,and can be used as an alternative method for DSA in diagnosing intracranial Intracranial aneurysm.

关 键 词：多层螺旋CT 血管造影 颅内脑动脉瘤 

分 类 号：R814.43[医药卫生—影像医学与核医学]