上矢状窦及属支静脉解剖形态的容积CT数字减影血管造影研究.docVIP

上矢状窦及属支静脉解剖形态的容积CT数字减影血管造影研究 张丽娟，吕发金，吕富荣，谢 惠，蒋孝先 (400016 重庆，重庆医科大学附属第一医院放射科) [摘要] 目的 通过容积CT数字减影血管造影（volume computed tomographic digital subtraction angiography，VCTDSA）研究上矢状窦及其属支静脉的解剖形态及临床意义。方法 分析2007年2月至2008年12月在我院行头部或头颈部联合VCTDSA、符合上矢状窦及其属支静脉研究纳入标准的102例患者资料。观测上矢状窦起始点及输出端形态；上矢状窦的形态、大小；属支静脉的数目；上矢状窦与其它静脉窦间的吻合。结果 上矢状窦起点为肓端占40.2%，59.8%由静脉汇合形成；输出端形态以直窦分支，上矢状窦偏侧型最多（48.0%、49/102），其次是双分支型（36.3%、37/102），而简单型只占12.7%（13/102）；上矢状窦截面形态以三角形为主，占79.4%（81/102）；显示Trolard吻合106个，Labbe吻合155个，上矢状窦通过大脑镰静脉与下矢状窦、直窦的吻合25个。结论 VCTDSA是清晰显示上矢状窦及其属支静脉解剖形态的有效方法，从不同角度完整、充分显示血管的形态、分布，有助于临床上矢状窦病变的诊断与手术治疗。 [关键词] CT血管造影术；上矢状窦；静脉；解剖 [中图法分类号] R322.12；R445.3；R814.42 [文献标志码] A Anatomic appearance of superior sagittal sinus and its tributaries with volume CT digital subtraction angiography Zhang Lijuan, Lu Fajin, Lu Furong, Xie Hui, Jiang Xiaoxian (Department of Radiology, First Affiliated Hospital, Chongqing Medical University, Chongqing, 400016, China) [Abstract] Objective To investigate the anatomic features of superior sagittal sinus and its tributaries by volume CT digital subtraction angiography (VCTDSA) and to evaluate their clinical significance. Methods VCTDSA data that matches our research inclusion criteria of 102 patients with cephalocervical and cephalic scanning in our hospital from February 2007 to December 2008 were analyzed. The morphology of original point, output forms and the diameter of superior sagittal sinus were studied. The number of tributaries veins, the anastomosis of superior sagittal sinus with other sinuses were observed. Results The superior sagittal sinus, accounting for 40.2%, had dead end original point, and of 59.8% was converged by veins. The output branching was most as superior sagittal sinus lateralization and straight-sinus type (48.0%, 49/102), followed by double branching type (36.3%, 37/102) and confluence sinus type (12.7%, 13/102). The section of superior sagittal sinus was triangle at most ( 79.4%, 81/102). Trolard anastomosis in 106, Labbe