Willis环的VCTDSA研究-第三军医大学学报.DOCVIP

Willis环解剖变异的64层容积CT数字减影血管造影研究 房文皓1，吕发金1，张丽娟1，谢 鹏2，李 琦2 (重庆医科大学附属第一医院：1放射科，2神经内科，重庆 400016) 摘 要： 目的 通过64层容积CT数字减影血管造影（volume CT digital subtraction angiography，VCTDSA）研究Willis环的正常解剖和变异。方法 分析头部或头颈部VCTDSA资料观测Willis环各组成动脉的发育情况、形态Willis环的完整性及Willis环穿支小血管的显示情况。（1）Willis环动脉发育不良各段均有发生，按发生率不同依次为L-PCoA (20%)、R-PCoA(1.1%)、R-ACA A1(13.%)、R-PCA P1(9.%)、ACoA (.3%)、L-PCA P1(6.3%)及L-ACA A1(3.%)，动脉缺如以R-PCoA(54.%)、L-PCoA(52.%)、ACoA(1.8%)为高（2）个Willis环中，后循环发育不良或缺如占5.4%，前后循环发育不良或缺如占.8%，具有完整形态Willis环的仅占.2%。（3）个Willis环清楚显示穿支血管支，平均直径0.8 mm。Heubner回返动脉支，平均直径0.9 mm。VCTDSA对Willis环显示完整、清晰，角度显示能发现Willis环的各种变异，显示Willis环小血管。关键词：Willis环CT血管造影术；R739.41；R814.42 文献标识码：A Anatomic variations of Willis circle by 64-slice volume CT digital subtraction angiography FANG Wen-hao1, LU Fa-jin1, ZHANG Li-juan1, XIE Pen2, LI Qi2 (1Department of Radiology, 2Department of Neurology, First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China) Abstract：Objective o investigate the normal anatomy and variation of Willis circle by 64-slice volume CT digital subtraction angiography (VCTDSA). Methods： data of 174 patients with cephalocervical and cephalic scanning in our hospital from February 2006 to September 2008 were analyzed. Developmental condition, shape, size, integrity, and perforating branches of Willis circle were observed. Results (1) Hypoplasia was displayed in any component vessels of Willis circle. Incidence rate of hypoplasia was 20.1% in left posterior communicating artery,16.1% in right posterior communicating artery, 13.8% in right anterior cerebral artery A1, 9.2% in right posterior cerebral artery P1,7.3% in anterior communicating artery, 6.3% in left posterior cerebral artery P1, and 3.4% in left anterior cerebral artery A1. Congenital arterial absence occur more frequently in right posterior communicating artery (54.6%), left posterior communicating artery (52.3%), and anterior communicating artery (15.8%). (2) Hypoplasia or congenital absence of posterior ci