三维CT血管成像技术在椎动脉型颈椎病诊断中的应用

发布时间：2018-01-20 00:52

本文关键词： 三维CT血管成像椎动脉型颈椎病诊断应用　出处：《中国医科大学学报》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨三维CT血管成像技术在椎动脉型颈椎病诊断中的应用效果。方法选取我院神经外科2014年1月至2015年7月收治的45例椎动脉型颈椎病患者作为研究组,另选取42例同期健康志愿者作为对照组。对所有受试对象均行三维CT血管成像技术检查,比较2组检查结果。结果研究组3例椎动脉正常,8例单侧管腔变细,2例走行异常,3例血管硬化,8例管腔局限性狭窄,3例左侧受压,4例右侧受压,5例血管走行迂曲。对照组2例椎动脉变细。2组椎动脉直径中的右横径、右矢径、左横径、左矢径、左三维直径,横突内径中的右横径、右矢径、左横径指标差异均有统计学意义(P0.05)。结论三维CT血管成像技术诊断椎动脉型颈椎病图像清晰,且对椎动脉直径和横突内径测量准确,应用效果显著。
[Abstract]:Objective to evaluate the application of 3D CT angiography in the diagnosis of cervical spondylosis of vertebral artery type. Methods 45 cases of cervical spondylosis of vertebral artery type were selected from January 2014 to July 2015 in our hospital. As a research group. In addition, 42 healthy volunteers were selected as control group. All subjects were examined by 3D CT angiography, and the results were compared between the two groups. Results 3 cases of vertebral artery in study group were normal. In 8 cases, unilateral lumen became thin in 2 cases, abnormal in 3 cases, vascular sclerosis in 8 cases, local stenosis in 8 cases, left side compression in 3 cases, right side in 4 cases. The right transverse diameter, right sagittal diameter, left transverse diameter, left sagittal diameter, left three-dimensional diameter, right transverse diameter of transverse process and right sagittal diameter in 2 cases of vertebral artery thinning in control group. Conclusion Three-dimensional CT angiography is clear in diagnosing cervical spondylosis of vertebral artery type and accurate in measuring the diameter of vertebral artery and the inner diameter of transverse process. The application effect is remarkable.
【作者单位】：中国医科大学附属第一医院放射线科;
【分类号】：R681.55;R816.8
【正文快照】： 椎动脉型颈椎病通常由于钩椎关节不稳定引发,常引起头痛,严重影响患者日常生活和工作[1]。若未得到及时治疗,将会出现一系列临床症状,如偏头痛、听力减退、眩晕、记忆力减退、视力、发音、及精神障碍等,甚至导致猝倒或自主神经症状。因此,早确诊早治疗对改善生活质量作用显著[

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