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双源CT四维动态螺旋扫描对颅内动脉瘤破裂风险的评估价值 被引量:2

Value of dual-source CT four-dimensional dynamic spiral scan in assessing the risk of intracranial aneurysm rupture
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摘要 目的:对双源CT四维动态螺旋扫描对颅内动脉瘤破裂风险的评估价值进行探讨。方法:选取2016年1月—2018年12月在齐齐哈尔市第一医院接受治疗的900例颅内动脉瘤患者作为本次研究的对象,并根据检查方法的不同对患者进行随机分组,可分为对照组(450例,采用常规CT检查)和观察组(450例,采用CTA联合CTP进行检查),对所有患者的扩张率、收缩率、危险率、破口率和血管流向正常率进行比较,并加以分析。结果:对两组的检查效果进行分析,可看到观察组的扩张率、收缩率、危险率、破口率均显著低于对照组,其差异均有统计学意义(P <0.05);同时观察组的血管流向正常率明显高于对照组,其差异具有统计学意义(P <0.05);经过对比后,发现相较于对照组,观察组颅内动脉瘤破裂发生率更低,组间差异大且有统计学意义(P <0.05)。结论:在对颅内动脉瘤破裂风险评估中,采用CTA联合CTP的检查方法能够得到更为准确的诊断结果,具有较高的临床使用价值和推广价值。 Objective To evaluate the value of dual-source CT four_dimensional dynamic spiral scanning in the risk of intracranial aneurysm rupture.Methods A total of 900 patients with intracranial aneurysms treated in the No.1 Hospital of Qiqihar City from January to February 2018,2016 were selected as subjects of this study,and patients were randomly assigned according to different examination methods.Divided into control group(450 cases,routine CT examination)and observation group(450 cases,using CTA combined with CTP),all patients with expansion rate,contraction rate,risk rate,rate of rupture and normal flow rate Compare and analyze.Results The effects of the two groups were analyzed.It can be seen that the expansion rate,contraction rate,risk rate and rupture rate of the observation group were significantly lower than the control group,and the difference was statistically significant(P<0.05).The normal rate of vascular flow in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the evaluation of the risk of intracranial aneurysm rupture,the CTA combined with CTP examination method can obtain more accurate diagnosis results,and has high clinical value and promotion value.
作者 金梅 刘力 李鑫 林奕军 陈通 李一帆 闫涛 刘洁群 Jin Mei;Liu Li;Li Xin;Lin Yijun;Chen Tong;Li Yifan;Yan Tao;Liu Jiequn(Qiqihar No.1 Hospital,Qiqihar,Heilongjiang 161005,China)
出处 《影像研究与医学应用》 2019年第16期23-25,共3页 Journal of Imaging Research and Medical Applications
基金 黑龙江省卫生计生委科研课题项目(编号:2017299)
关键词 双源CT 四维动态螺旋扫描 颅内动脉瘤破裂 风险 Dual-source CT Four-dimensional dynamic spiral scan Intracranial aneurysm rupture Risk
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