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CTA在自发性脑出血中的临床应用

CLINICAL APPLICATION OF CT ANGIOGRAPHY TO ETIOLOGIC DIAGNOSIS OF SPONTANEOUS ENCEPHALORRHAGIA
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摘要 目的:探讨CTA(Computed tomographic angiography)在自发性脑出血早期病因诊疗中的作用。方法:回顾性分析138例自发性脑出血患者的CTA检查,并结合DSA造影结果,评价CTA在自发性脑出血中的价值。结果:128例患者中发现56例(43.8%)出血继发于脑血管病变;其中,动脉瘤29例(CTA发现31个动脉瘤),脑动静脉畸形21例,硬脑膜动静脉瘘3例,静脉窦血栓形成2例,烟雾病1例。结论:CTA是自发性脑出血早期病因诊断的首选方法。 Objective:To study the role of CT angiography(CTA) in diagnosis of spontaneous encephalorrhagia. Methods : 128 patients with spontaneous encephalorrhagia were analyzed retrospectively.All cases were examined with CTA and DSA,and the results were compared . Results :56 cases (43.8%)were due to cerebral vascular disease. In 29 cases of intracranial aneurysms,31 of the 32 aneurysms were detected by CTA.CTA also detected 21 cases of arteriovenous malformation,3 cases of dural arteriovenous fistula, 2 cases of sinus venosus thrombosis and 1 case of Moyamoya disease . Conclusion :CTA should be the first choice in the etiologic diagnosis of spontaneous eneephalorrhagia.
出处 《泸州医学院学报》 2009年第4期381-383,共3页 Journal of Luzhou Medical College
关键词 自发性脑出血 DSA CTA CT Angiography Digital subtraction angiography Spontaneous encephalorrhagia
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