MSCTA在自发性颅内出血病因诊断中的价值

发布时间：2018-04-05 10:31

本文选题：颅内出血　切入点：体层摄影术　出处：《中国临床医学影像杂志》2017年03期

【摘要】：目的:探讨多层螺旋CT血管成像(MSCTA)在自发性颅内出血病因诊断中的应用价值。方法:对我院收治的69例自发性颅内出血患者的影像学资料进行回顾性分析,所有患者均行MSCTA检查,36例CTA检查为动脉瘤的患者进行了DSA检查并对责任动脉瘤行栓塞治疗。结果:MSCTA诊断动脉瘤36例,烟雾病13例,动静脉畸形8例;DSA和栓塞手术结果证实:MSCTA诊断动脉瘤正确33例,误诊1例,漏诊2例,其对动脉瘤患者的诊断准确性为91.7%;不同出血部位出血原因分析表明:蛛网膜下腔出血主要由动脉瘤破裂所致,脑室出血大多由烟雾病引起,脑叶出血主要原因为脑血管畸形,脑深部出血主要原因为烟雾病,混合性出血可由动脉瘤和血管畸形引起。结论:MSCTA在自发性颅内出血病因诊断中具有重要价值。
[Abstract]:Objective: to evaluate the value of multislice spiral CT angiography (MSCTA) in the diagnosis of spontaneous intracranial hemorrhage.Methods: the imaging data of 69 patients with spontaneous intracranial hemorrhage in our hospital were retrospectively analyzed. All patients were examined by MSCTA and 36 patients with aneurysm by CTA were examined by DSA and embolization of the responsible aneurysm.Results 36 cases of aneurysm, 13 cases of moyamoya disease, 8 cases of arteriovenous malformation were diagnosed by MSCTA. The results of DSA and embolization operation confirmed that 33 cases of aneurysm were correctly diagnosed, 1 case was misdiagnosed, 2 cases missed diagnosis.The accuracy of diagnosis in patients with aneurysm was 91.7%. The results showed that subarachnoid hemorrhage was mainly caused by rupture of aneurysm, ventricular hemorrhage was mostly caused by moyamoya disease, and cerebral lobe hemorrhage was mainly caused by cerebral vascular malformation.The main cause of deep cerebral hemorrhage is moyamoya disease. Mixed hemorrhage can be caused by aneurysm and vascular malformation.ConclusionMSCTA has important value in the etiological diagnosis of spontaneous intracranial hemorrhage.
【作者单位】：江苏省泗洪县人民医院CT室;
【分类号】：R743.34;R816.1

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