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64层螺旋CT脑血管造影在颅内动脉瘤诊断中的应用
引用本文:史晓蓓,王成伟,张林,汤艳萍,李勇.64层螺旋CT脑血管造影在颅内动脉瘤诊断中的应用[J].现代生物医学进展,2010,10(6).
作者姓名:史晓蓓  王成伟  张林  汤艳萍  李勇
作者单位:新疆石河子大学医学院第一附属医院CT、MRI室,新疆,石河子,832000
摘    要:目的:探讨64层螺旋CT血管造影(CTA)对颅内动脉瘤的诊断价值。方法:回顾性分析54例临床怀疑为颅内动脉瘤,并同时行64层CTA和DSA检查的病例,其中47例疑诊动脉瘤患者行动脉瘤夹闭手术,将MSCTA,DSA与手术结果对照。结果:54患者中经MSCTA检出57个动脉瘤,DSA检出55个动脉瘤,另7例MSCTA和DSA均未检出动脉瘤,余47例接受手术并检出58个动脉瘤。64层CTA发现动脉瘤的敏感性为96.6%,特异性为87.5%,准确性为96.5%,阳性预测值为98.2,阴性预测值为77.7。MIP和VR技术对动脉瘤的形态、分支血管、血栓和钙化方面的显示优于DSA。结论:64层CTA诊断颅内动脉瘤具有较好的异性、敏感性及三维显示能力,具有较高的临床应用价值。。

关 键 词:血管造影术  颅内动脉瘤  数字减影  

The Application of Intracranial Aneurysm by 64 Detector Row CT Angiography
SHI Xiao-bei,WANG Cheng-wei,ZHANG Lin,TANG Yan-ping,LI Yong.The Application of Intracranial Aneurysm by 64 Detector Row CT Angiography[J].Progress in Modern Biomedicine,2010,10(6).
Authors:SHI Xiao-bei  WANG Cheng-wei  ZHANG Lin  TANG Yan-ping  LI Yong
Institution:SHI Xiao-bei,WANG Cheng-wei,ZHANG Lin,TANG Yan-ping,LI Yyong (The CT , MRI department,The First Affiliated Hospital Of Shi hezi University of Xin jiang,China.832000)
Abstract:Objective: To evaluate the diagnostic value of 64 detector row computed tomographic angiography (CTA) in intracranial aneurysm.Methods: 54 patients with clinical suspected cerebral aneurysms were examined by MSCTA and DSA.In these cases,47 patients accepted operation treatments.The results of MSCTA were compared with DSA and neurosurgery.Results: 54 patients who were found 58 aneurysms in operation,a total of 57 aneurysms were detected by MSCTA.The sensitivity,specificity and coincidence rate of MSCTA were ...
Keywords:Angiography  Intracranial aneurysms  Digital subtraction angiography  
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