头部螺旋CT血管造影诊断颅内动脉瘤的临床价值  

Clinical Value of Head MSCTA in Diagnosis of Intracranial Aneurysms

作　　者：王琰 刘喜全 WANG Yan;LIU Xiquan(Weinan Central Hospital,Weinan Shaanxi 714000)

机构地区：[1]陕西省渭南市中心医院,陕西渭南714000

出　　处：《医学临床研究》2025年第2期221-224,共4页Journal of Clinical Research

摘　　要：【目的】探讨头部螺旋CT血管造影(MSCTA)诊断颅内动脉瘤(IA)的临床价值。【方法】回顾性分析2019年2月至2023年2月本院收治的85例疑似IA患者的临床资料,所有患者均行数字减影血管造影(DSA)及MSCTA检查。以手术病理诊断结果为金标准,比较两种诊断方式对IA的诊断结果及诊断效能,比较MSCTA与DSA检测IA瘤颈最大径及瘤体最大径。【结果】48例患者经手术证实为IA。MSCTA、DSA诊断IA的Kappa值分别为0.880、0.881,均与病理诊断结果一致性较好(P<0.05);MSCTA、DSA诊断IA的准确性、特异度及敏感度比较,差异无统计学意义(P>0.05)。MSCTA与DSA对瘤颈最大径及瘤体最大径检测值比较,差异无统计学意义(P>0.05)。【结论】MSCTA可有效诊断IA,其诊断价值与传统的DSA检测价值相近,在临床上可作为DSA检查的辅助诊断方式。【Objective】To evaluate the clinical value of head multislice spiral computed tomography angiography(MSCTA)in the diagnosis of intracranial aneurysm(IA).【Methods】The clinical data of 85 patients with suspected IA admitted to our hospital from February 2019 to February 2023 were retrospectively analyzed.All patients underwent digital subtraction angiography(DSA)and MSCTA.With surgical pathological diagnosis as the gold standard,the diagnostic results and diagnostic efficacy of the two diagnostic methods for IA were compared,and the detection values of the maximum diameter of the tumor neck and the maximum diameter of the tumor body were compared between MSCTA and DSA.【Results】48 patients were confirmed as IA by operation.The Kappa values of MSCTA and DSA for diagnosis of IA were 0.880 and 0.881,respectively,which were in good agreement with pathological diagnosis results(P<0.05).There was no significant difference in accuracy,specificity and sensitivity between MSCTA and DSA in the diagnosis of IA(P>0.05).There was no significant difference between MSCTA and DSA in the maximum diameter of tumor neck and the maximum diameter of tumor body(P>0.05).【Conclusion】MSCTA can effectively diagnose IA,and its diagnostic value is similar to that of traditional DSA,and it can be used as an auxiliary diagnostic method for DSA in clinic.

关 键 词：颅内动脉瘤 体层摄影术 螺旋计算机 血管造影术 诊断 

分 类 号：R651.122[医药卫生—外科学]