64排螺旋ct血管成像(cta)在头颈部血管病变中的临床应用.docVIP

精品论文 参考文献 64排螺旋CT血管成像(CTA)在头颈部血管病变中的临床应用 （广西桂东人民医院影像科CT室 广西 梧州 543000） 　　【摘要】 目的：分析64排螺旋CT血管成像(CTA)在头颈部血管病变中的临床应用。方法：对我院2014年4月至2015年10月收治的60例疑诊为头颈部血管病变患者行64排螺旋CTA扫描，所有病例均应用容积再现（VR）、多平面重组（MPR）、最大密度投影（MIP）和曲面重组(CPR)等技术进行分析。结果：6例正常无病变，6例双侧大脑中动脉狭窄,9例一侧大脑中动脉M1段狭窄,5例一侧大脑中动脉闭塞,10例患者脑内动脉瘤,2例双侧椎动脉狭窄,6例一侧椎动脉狭窄，9例一侧椎动脉纤细，3例一侧颈动脉狭窄，3例动静脉畸型，1例后交通动脉增粗。结论：64排128层螺旋CT血管成像检查是一种安全快速、无创检查，简便易行，可以从任意角度和方位去观察病变的检查方法，在头颈部血管病变的病因诊断及预后评价中具有较高的临床应用价值。 　　【关键词】 头颈部血管病变;64 排螺旋 CT；CT血管成像(CTA) ；造影剂 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2016）29-0142-02 　　【Abstract】Objective To discuss the value of 64 row helical CT angiography in demonstrating of clinical application of the head and neck vascular diseases. Methods Collecting 60 cases of pate vascular diseases patients who underwent CTA examination by 64 row helical CT in our hospital during April, 2014 to October, 2015. All image post processing was taken with volume rendering (VR), multiplanar reformation (MPR), maximum intensity projection (MIP) and curved planar reformation (CPR). Results 6 cases were normal, 6 cases were bilateral middle cerebral artery stenosis, 9 cases were M1 segment stenosis of middle cerebral artery, 5 cases were unilateral middle cerebral artery occlusion, 10 cases were Intracranial aneurysm, 6 cases were Bilateral vertebral artery stenosis, 9 cases were One side of vertebral artery, 3 cases were Unilateral carotid artery stenosis, 3 cases were arteriovenous malformations, 1 case was arteriae communicans posterior dilatation. Conclusion 64 row helical CT angiography is a safe, rapid, noninvasive examination which can survey the pathological changes in any angle and position. It has high clinical value in the evaluation in the etiology diagnosis and prognosis of head and neck vascular diseases. 　　脑血管病具有发病率高、致残率高、死亡率高、复发率高、并发症多等特点，在全球是造成人类死亡的第2位疾病[1]，其中缺血性脑卒中最常见，占60％～80％[2]。如能早期发现头颈部动脉狭窄，适时行溶栓或介入治疗可显著降低脑血管意外的发病率。64排螺旋CT具有扫描速度快、层厚薄、检查时间短、获取的影像有较高的时间和空间分辨率等优点，本文对60例行64排螺旋CTA头颈部检查