螺旋CT血管造影对脑动脉瘤栓塞治疗的指导价值.pdfVIP

· 198 China JMIT Mar 2001 Vol 1 7 No 3 螺旋CT血管造影对脑动脉瘤栓塞治疗的指导价值 左长京 ，王培军，田建明．许 奕 ，刘建民．萧 毅 ，崔恒武，王敏杰 (1．第二军医大学长裤医院放射科，上海 200433 2 神经外科) [摘 要] 目的 探讨螺旋CT血管造影(SCTA)对脑动脉瘤电解可脱弹簧圈(GDC)血管内栓塞治疗的指导价值。 方法 脑动脉瘤患者3O例，行SCTA后一周内行 DSA及GDC栓塞治疗 结果 ①SCTA捡出了DSA发现的 35 个脑动脉瘤中的34个(97 1 )，32个动咏瘤诊断正确(91 4 )。②32个选择 GDC桂塞治疗的脑动脉瘤中，SCTA 测量的最佳投照角度与DSA相同30个(93．5 )。③MIP对动脉瘤瘤体及瘤颈测量值准确可靠，与DsA无显著差异 (P0．05)；SSD法立体感优于MIP及DSA．对瘤体测量值与DSA无显著差异(P2O 05)，但对瘤颈测量值与DSA 有显著差异(PO．01)，SSD常夸大瘤颈宽度。结论 SCTA不仅能较准确诊断脑动脉瘤，而且可以为动脉瘤的GDC 栓塞治疗提供最佳投照角度及精确测量值。 [关键词] 体层摄影术，x线计算机；脑动脉瘤：血管造影术，数字减影 [中围分类号] R445．2；R739．41 [文棘标识码] A [文章编号] 1003—3259(2001)03-0198 04 The Directive Value of Spiral CT Angiography in the Endovascular Embolization of Cerebral Aneurysms ZUOChang3ing，WANG Pei-j TI／LNTJianmitkg．et al (Department ofRadiology，Changhai Hospital，the Second Military Medical Uniz~rsityt Shanghai 200433，China) [Abstract] Purpose To evaluate the directive value of spiral CT angiography(SCTA)in the endovascular emboliza— tion of cerebral aneurysms with guglielmi detachable eoil(GDC)．Methods 30 patients with cerebral aneurysms under— went SCTA and within one week underwent DSA and endovaseular treatment with GDe Results ①35 cerebraI aneu— rysms Vgere found by DSA in the 30 patients SCTA detected 34 aneurysms(97．1 )and diagnosed 32 correctly(91． 4 )．② The optimal projection angles chosen bv scTA were identical with DsA 1n 30 0f 32 aneurysms which received GDC embolism (93．8 )．④ There were no obvious statistic differences between MIP and DSA about the bodies length and the neckg width of the aneu rysms(P2 0．05)．It showed that the MIP technique vg