CTA在颅内动脉瘤诊断中的应用.docVIP

CTA在颅内动脉瘤诊断中的应用 　　[摘要] 目的 探讨CTA在颅内动脉瘤诊断中的应用价值。 方法 整群选择该院2012年1月―2014年1月收治的56例经手术证实为动脉瘤患者为研究对象。回顾性分析56例患者的多层螺旋CT血管成像（CTA）检查以及数字减影血管造影（DSA）检查。对比两种方法的检查结果，并分析CTA诊断颅内动脉瘤的应用价值。 结果 ①手术病理分析证实56例患者均为阳性，并且共发现动脉瘤62个。②CTA确诊病例54例，动脉瘤个数60个，诊断准确率为96.77%；DSA确诊病例54例，肿瘤数59个，诊断准确率为95.16%。结论 CTA与DSA诊断颅内动脉瘤的准确性并无明显差异，但是该方法对动脉瘤解剖结构以及动脉瘤周围解剖信息的诊断情况明显优于DSA。因此，CTA可以作为临床诊断颅内动脉瘤的首选方法，值得临床推广应用。 中国论文网 /6/view-7165283.htm 　　[关键词] CTA；DSA；应用价值 　　[中图分类号] R739.41 [文献标识码] A [文章编号] 1674-0742（2015）09（c）-0163-02 　　[Abstract] Objective To study the diagnostic value of CTA in intracranial aneurysms. Methods 56 patients who were admitted to the hospital and confirmed by surgery with intracranial aneurysms between January 2012 and January 2014 were selected as the research objective. The results of multi-slice spiral CT angiography （CTA） and digital subtraction angiography （DSA） performed on them were retrospectively analyzed and compared， and the value of CTA in the diagnosis of intracranial aneurysms was analyzed. Results ①It was proved by pathological analysis that all 56 patients were positive and 62 aneurysms were found. ②The result of multi-slice spiral CTA showed that 54 patients were with intracranial aneurysms and there were 60 aneurysms， and the accuracy was 96.77%； the result of DSA showed that 54 patients were with intracranial aneurysms and there were 59 aneurysms， and the accuracy was 95.16%. Conclusion There is no obvious difference in the accuracy of CTA and DSA in diagnosis of intracranial aneurysms， but CTA in diagnosis of anatomic structure and other anatomic information of the aneurysms is better than DSA. Therefore， CTA can be used as the first choice for clinical diagnosis of intracranial aneurysms， and it is worthy of clinical application. 　　[Key words] CTA； DSA； Application value 　　目前，临床常用的诊断颅内动脉瘤方法有多层螺旋CT血管成像（CTA）以及数字减影血管造影（DSA），并且随着医疗科技水平的提高，CTA诊断颅内动脉瘤的优势越来越明显，逐渐在医学界引起广泛重视[1]。该研究以2012年1月―2014年1月在该院收治的56例经手术及DSA证实为颅内动脉瘤的患者为研究对象，了解CTA在颅内动脉瘤诊断中的应用价值，现报道如下。 　　1 资料与方法 　　1.1 一般资