摘要
目的：探讨16层螺旋CT血管造影在颅内动脉瘤治疗方面的应用价值。资料与方法：对2007年6月～2009年6月38例在我院治疗的颅内动脉瘤病例进行回顾性分析，各例均有治疗前后完整的临床和影像资料，所有病例治疗前后均行CTA检查。34例行动脉瘤夹闭术，4例行介入栓塞术；32例治疗前后CTA检查相隔在10d之内，6例在11～27d之内。术前所有病例均行DSA检查，术后4例复查DSA。结果：38例病例中颅内动脉瘤46个，其中行动脉瘤夹闭术34例，夹闭动脉瘤40个；介入栓塞术4例，栓塞动脉瘤4个；另有2个未作处理。46个动脉瘤中，CTA明确诊断40个，可疑5个，漏诊1个。术后CTA见夹闭不全2个，瘤颈残余1个。结论：16层螺旋CT血管造影作为一种无创、快速、准确、易被患者接受的检查方法，不仅在颅内动脉瘤术前诊断及选择手术方法中具有优势，而且可成为术后随访的首选方法。
Abstract
Objective: To evaluate the value of 16-slice CT angiography technique in the treatment of intracranial aneurysm. Materials and Methods: Thirty-eight cases of patients with intracranial aneurysm during June 2007 to June 2009 were reviewed, all cases were performed MSCT angiographies before and after surgery, DSA were performed in all cases before surgery and 4 cases after surgery. Pre- and post-operation MSCT angiography were performed within 10 days in 32 cases, and within 11～27 days in 6 cases. Result: There were 46 intracranial aneurysms in 38 patients; Clipping 40 aneurysms in 34 patients; embolysing aneurysms in 4 cases; another two were not treated. Forty aneurysms were diagnosed correctly by CTA, but 5 lesions were suspicious, and 1 lesion was missed. Two incomplete occlusions were found by post-operative CTA, residual neck was found in 1 case. Conclusion: 16-slice CTA was a non-invasive, effective and accurate method to evaluate the intracranial aneurysm and it could be easily accepted by patients. It has advantages not only in diagnosis of the intracranial aneurysms, preoperative selection of treatment, also in the postoperative follow-up of the intracranial aneurysm.
关键词
颅内动脉瘤 /
体层摄影术 /
螺旋计算机 /
血管造影术
Key words
Intracranial aneurysm /
Tomography /
spiral computed /
Angiography
周 玲;武 峰;张 蓓;胥 莉.
16层螺旋CT血管造影在颅内动脉瘤治疗方面的应用价值[J]. 中国临床医学影像杂志. 2009, 20(12): 893-895
ZHOU Ling;WU Feng;ZHANG Bei;XU Li.
The value of 16-slice spiral CTA in the therapy of intracranial aneurysm[J]. Journal of China Clinic Medical Imaging. 2009, 20(12): 893-895
中图分类号：
Ｒ739.41
Ｒ732.21
Ｒ814.42
Ｒ814.43
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