脑血管成像对急性动脉瘤性蛛网膜下腔出血的诊断价值.docVIP

64排螺旋CT脑血管成像对急性动脉瘤性蛛网膜下腔出血的诊断价值 发表时间：2009-10-16 9:07:10 来源：创新医学网推荐 作者：龙昉 胡茂清 罗学毛 张朝桐 龙晚生 梁启堂??? 作者单位：中山大学附属江门医院放射科 【摘要】?目的 探讨64排螺旋CT血管成像（MSCTA）对动脉瘤性蛛网膜下腔出血（SAH）的诊断价值。 方法 回顾性分析42例急性动脉瘤性SAH患者的MSCTA、DSA、手术资料。MSCTA图像采用容积再现（VR）、最大密度投影（MIP）、多平面重建（MPR）、仿真内窥镜（VE）技术进行处理。 结果 MSCTA共发现动脉瘤44个，DSA、手术共发现动脉瘤46个，与DSA和手术比较，MSCTA正确诊断动脉瘤44个，漏诊2个，MSCTA诊断敏感性为95.7%。 结论 MSCTA对动脉瘤性蛛网膜下腔出血检出动脉瘤的诊断敏感性高、快速、无创，可作为SAH首选的影像学诊断方法。 【关键词】? 动脉瘤 蛛网膜下腔出 ??? The diagnostic value of 64-slice multidetecter computed tomography angiography in acute aneurismal subarachnoid hemorrhage ??? LONG Fang, HU Mao-qing, LUO Xue-mao, et al. Department of Radiology, Jiangmen?? ??? Hospital , Zhongshan University,Guangdong 529030, China ??? [Abstract]??? Objective?? To investigate the clinical value of 64-slice multidetecter computed tomography angiography(MSCTA) in the diagnosis of aneurismal subarachnoid hemorrhage (SAH).? Methods? The data of MSCTA, DSA and operation in 42 patients with aneurismal subarachnoid hemorrhage were reviewed retrospectively. The MSCTA reconstructed images were processed into volume rendering(VR), maximal intensity projection(MIP), multiplanner reconstruction(MPR), and virtual endoscopy(VE).??? Results?? Fourty-four aneurysms were detected by MSCTA, 46 aneurysms were detected by DSA and operation. In comparion with DSA and operation, 44 aneurysms were accurately diagnosed and 2 were not detected, the sensitivity of MSCTA in the diagnosis of ruptured aneurysms was 95.7%.? Conclusion? MSCTA is a sensitive, rapid, and noninvasive method for detecting intracranial aneurysms.It may be the first choice for diagnosing intracranial aneurysms,espically in an emergency situation. ??? [Key words] aneurysms; subarachnoid hemorrhage; multislice computed tomography angiography; digital subtraction angiography ??? 【关键词】 动脉瘤；蛛网膜下腔出 ??? 血；多层螺旋CT血管成 ??? 像；数字减影血管造影 ??? 颅内动脉瘤破裂是引起自发性蛛网膜下腔出血（subarachnoid hemorrhage,SAH）最常见的病因，致残率和病死率较高，及时准确的诊断是降低预后不良的前提。多层螺旋CT血管成像（multislice spiral computed tomography angiog