CTA后处理技术联合应用诊断蛛网膜下腔出血研究.docxVIP

【摘要】? 目的：探讨多种CTA后处理技术联合应用对蛛网膜下腔出血病因诊断的价值。方法:搜集本院成功完成64层螺旋CT数字减影CTA检查并得到DSA证实的自发性蛛网膜下腔出血患者42例，CTA原始资料在工作站运用多种后处理技术（包括VR、MIP、MPR和VA）分析，探讨各种后处理技术对不同血管性病变的诊断价值。结果:多种CTA后处理技术联合应用对蛛网膜下腔出血病因诊断的特异性与敏感性与DSA检查结果一致，发现囊状动脉瘤29个，夹层动脉瘤1个，AVM病灶3个，未有阳性发现9例。其中VR和MIP联合VA适用于囊状动脉瘤的诊断，MPR和VA适用于夹层动脉瘤，MPR联合VR和MIP适用于AVM的诊断。结论: 不同CTA后处理技术适用于不同脑血管性病变的诊断，多种CTA后处理技术联合应用有利于提高蛛网膜下腔出血病因诊断的特异性与敏感性。 【关键词】? 蛛网膜下腔出血； 血管造影术； 体层摄影术; X 线计算机 　　The Study of CT Angiography Reconstruction Techniques in Etiological Diagnosis of Subarachnoid Hemorrhage 　　GUO Yue-lin,? LIU Guo-rui,?? ZHENG Wen-bin, et al 　　The Second Affiliated Hospital of Shantou University Medical College, Guangdong Shantou515041,China??? ??? Abstract：Objective: To investigate the values of different CT angiography reconstruction techniques in etiological diagnosis of subarachnoid hemorrhage. Methods: Patients (n=42) with spontaneous subarachnoid hemorrhage were underwent 64-row multisection CT angiography and different CT angiography reconstruction techniques (including VR, MIP, MPR and VA) were used to analyze vessels. The values of different CT angiography reconstruction techniques in etiological diagnosis of subarachnoid hemorrhage were compared. Results: The diagnostic specificity and sensibility of CT angiography in etiological diagnosis of subarachnoid hemorrhage were as good as DSA. Saccular aneurysms (n=29), dissecting aneurysms (n=1) and AVM (n=3) were found in this study, and 9 cases were negative. VR, MIP combined VA show saccular aneurysms best. MPR and VA show dissecting aneurysms best. And MPR combined VR and MIP show AVM best. Conclusion: Different CT angiography reconstruction techniques show different vascular lesions best. Combined different CT angiography reconstruction techniques could improve the diagnostic specificity and sensibility of CT angiography in etiological diagnosis of subarachnoid hemorrhage. ??? Key words:? Subarachnoid hemorrhage;?? Angiography;? Tomography；? X-ray computer??? 　　自发性蛛网膜下腔出血发病率高，常见病因包括颅内