数字减影血管造影在蛛网膜下腔出血病因诊断中的应用  

Digital subtraction angiography in etiological diagnosis of subarachnoid hemorrhage

作　　者：李利中 杨瑞民[2] 张铭秋[2] 李奋保[2] 赵鹏[2] 刘爱光[2] 孙建明[2] 

机构地区：[1]鹤壁市矿务局总医院神经外科,河南鹤壁458000 [2]新乡医学院第一附属医院影像介入中心

出　　处：《临床心身疾病杂志》2004年第1期1-2,共2页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨数字减影血管造影术(DSA)对自发性蛛网膜下腔出血(SAH)病因诊断的价值。方法 对120例经临床和CT诊断为自发性蛛网膜下腔出血的患者经股动脉穿刺插管进行选择性的全脑血管数字减影血管造影术检查,部分病因明确病例进行栓塞治疗。对所有造影结果进行分析。结果120例血管造影术显示:正常8例(6.7％),阳性112例(93.3％),其中颅内动脉瘤79例(70.5％)、血管畸形17例(15.2％)、脑动脉狭窄及闭塞16例(14.3％),均为自发性蛛网膜下腔出血的主要原因。结论数字减影血管造影术是蛛网膜下腔出血病因的最直接和最可靠的检查方法,并能为血管内栓塞治疗或外科手术治疗提供可靠解剖形态。Objective To explore the value of the digital subtraction angiography (DSA) in etiological diagnosis of the subarachnoid hemorrhage(SAH). Methods Selective DSA was conducted in 120 patients with the SAH confirmed by clinical symptoms and CT, embolic treatments were given to the partial patients whose etiology was clear. All DSA results were analyzed. Results The DSA showed that the normal was 8 (6. 7%),positive 112(93. 3%) ,among the latter berry aneurysm 79(70.5%), vessel deformity 17(15.2%) and cerebral arterial stenosis and occlusion 16(14. 3%),all the above-mentioned were main causes of the SAH. Conclusion The DSA is the most direct and reliable etiological examination of the SAH, and provides reliable anatomical appearance for intra-vessel embolic treatment and operative treatment.

关 键 词：血管造影术 蛛网膜下腔出血 诊断价值 

分 类 号：R743.35[医药卫生—神经病学与精神病学]