摘要
目的探讨CT灌注成像评估颅内动脉瘤介入与夹闭手术的效果。方法选择2021年1月至2022年12月我院收治的94例颅内动脉瘤患者,依据手术方式不同分为介入组(52例,颅内动脉瘤介入术)和夹闭组(42例,开颅瘤颈夹闭术)。两组患者均行CT灌注成像检查,比较两组CT灌注参数、并发症发生情况及不同预后患者CT灌注参数。结果术后12 h,介入组脑血容量(CBV)、脑血流量(CBF)均高于夹闭组(P<0.05)。两组平均通过时间(MTT)比较差异无统计学意义(P>0.05)。随访6个月,介入组并发症发生率为7.69%,低于夹闭组的38.10%(P<0.05)。血管痉挛患者CBV、CBF低于非血管痉挛患者,脑梗死患者CBF低于非脑梗死患者(P<0.05)。结论CT灌注成像评估颅内动脉瘤介入与夹闭手术的效果显著,能够预测血管痉挛、脑梗死。
Objective To explore the effect of CT perfusion imaging in assessment of intracranial aneurysms intervention and neurosurgical clipping.Methods 94 patients with intracranial aneurysms admitted to our hospital from January 2021 to December 2022 were selected and divided into intervention group(52 cases,intracranial aneurysms intervention)and clipping group(42 cases,neurosurgical clipping)according to the surgical methods.CT perfusion imaging was performed in both groups.CT perfusion parameters,complications,and CT perfusion parameters of patients with different prognosis were compared between the two groups.Results 12 hours after surgery,the cerebral blood volume(CBV)and cerebral blood flow(CBF)of the intervention group were higher than those of the clipping group(P<0.05).No statistical difference was found in the mean transit time(MTT)between the two groups(P>0.05).Following up for 6 months,the incidence of complications in the intervention group was 7.69%,lower than 38.10%in the clipping group(P<0.05).The CBV and CBF of patients with vasospasm were lower than those of patients without vasospasm,and the CBF of patients with cerebral infarction was lower than that of patients with non-cerebral infarction(P<0.05).Conclusions CT perfusion imaging in assessment of intracranial aneurysms intervention and neurosurgical clipping has significant effect,which can predict the vasospasm and cerebral infarction.
作者
陈阳
徐爱民
田成斌
CHEN Yang;XU Aimin;TIAN Chengbin(Department of Radiology,General Hospital of Pingmei Shenma Group,Pingdinshan 467000,China)
出处
《临床医学工程》
2024年第7期783-784,共2页
Clinical Medicine & Engineering
关键词
颅内动脉瘤介入
开颅瘤颈夹闭术
CT灌注成像
Intracranial aneurysms intervention
Neurosurgical clipping
CT perfusion imaging
