DSA图像质量影响因素及旋转DSA造影技术的应用价值.docVIP

DSA图像质量影响因素及旋转DSA造影技术的应用价值 　　[摘要] 目的 研究DSA图像质量影响因素及旋转DSA造影技术的应用价值。 方法 整群选取该院2012年4月―2013年10月收治的52例行动脉血管造影检查的脑血管疾病患者，分别采用常规DSA血管造影诊断（记为对照组）和旋转DSA血管造影诊断（记为观察组）。观察两组造影成像的质量并分析其影响因素，探讨旋转DSA造影技术的应用价值。 结果两组均取得较好的造影图像质量，对照组图像清晰度优良率84.62%较观察组80.77%差异无统计学意义（P0.05），其中造影采集图像时患者头部的摆动、造影剂使用不合理以及采集图像曝光时间段是影响成像质量的主要因素；观察组瘤颈显示率98.08%较对照组82.69%显著较高，差异有统计学意义（P0.05），观察组观察最大瘤颈直径为3.6 mm，对照组观察仅为3.2 mm。 结论 患者的配合程度、造影操作的专业度是影响成像质量的主要因素；旋转DSA造影能较好的观察动脉血管和动脉瘤颈病变情况，可为临床诊断提供可靠依据。 　　[关键词] 数字减影血管造影；旋转DSA；图像质量；应用价值 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0181-02 　　Influence Factors of DSA Image Quality and Application Value of Rotational DSA Angiography 　　CUI Yong-qiang 　　Cath Lab， Zhumadian Central Hospital， Zhumadian，Henan Province，463000 China 　　[Abstract] Objective To research the influence？factors of DSA image quality and application value of rotational DSA angiography. Methods 52 cases of patients with cerebrovascular disease receiving arterial angiography in our hospital from April 2012 to October 2013 were selected and divided into two groups， the control group were diagnosed by conventional DSA angiography， the observation group were diagnosed by rotational DSA angiography， the imaging quality of the two groups was observed and its influence factors were analyzed， the application value of rotational DSA angiography was discussed. Results The imaging quality of both groups was good， the difference in the excellent and good rate of image definition between the control group and the observation group was not obvious （84.62% vs 80.77%）， and the difference was not statistically significant（P0.05）， the main influence factors of imaging quality were head swing of patients when collecting contrastographic pictures， unreasonable use of radiocontrast agent and exposure time period of contrastographic pictures； the displaying rate of aneurysmal neck in the observation group was obviously higher than that in the control group （98.08% vs 82.69%）， the difference was statistically