摘要
目的探讨128层螺旋CT血管成像(MSCTA)在头颈部血管病变中的临床应用价值。方法对113例临床怀疑或确诊头颈部血管病变患者行128层螺旋CT血管造影,同时采用容积重建(VR)、多平面重建(MPR)、最大密度投影(MIP)显示血管,评价MSCTA对头颈部血管性病变的诊断价值。结果 113例患者中,动脉狭窄或粥样硬化89例、动脉瘤8例、动静脉畸形2例、烟雾病3例、动静脉畸形并发烟雾病1例、血管先天性变异42例、正常者9例。MSCTA可清楚显示病变的位置、大小、形态以及与周围血管和颅骨的关系,与数字减影血管造影(DSA)检测结果及手术结果基本一致。结论 MSCTA对头颈部血管性疾病的诊断,具有无创、快速、安全、准确性高等特点,可作为头颈部血管性病变的首选影像学筛选。
Objective To evaluate the clinical value of 128-slice spiral CT angiography in diagnosing craniocervical vascular disease.Methods 113 patients with suspected or documented craniocervical vascular disease underwent 128-slice spiral CT angiography,and craniocervical vessels are displayed by VR,MPR,MIP to diagnose craniocervical vascular disease.Results Among 113 patients examined by CTA,89 were diagnosed as arteriostenosis or arteriosclerosis,8 were diagnosed as cerebral aneurysms,2 were diagnosed as AVM,3 were diagnosed as moyamoya disease,1 were diagnosed as coexistence of AVM and moyamoya disease,42 were diagnosed as inborn variation of vessel,9 is normal.MSCTA can clearly show the location of lesions,size,shape,and the relationship between skull and the surrounding blood vessels,the test results with MSCT are consistent with the test results with the DSA and the surgical results.Conclusion MSCTA in the diagnosis of craniocervical vascular disease is non-invasive,rapid,safe,highly accurate,and can be used as the first choice for screening craniocervical vascular disease.
出处
《实用临床医药杂志》
CAS
2011年第13期134-136,共3页
Journal of Clinical Medicine in Practice
