多层螺旋CT平扫与CTA在大面积脑梗塞的诊断方面的临床价值分析

发布时间：2018-01-24 22:35

本文关键词： 多层螺旋CT平扫 CT血管造影(CTA) 大面积脑梗塞　出处：《世界最新医学信息文摘》2016年A4期 　论文类型：期刊论文

【摘要】：目的研究探讨大面积脑梗塞应用多层螺旋CT平扫和CTA诊断的临床价值。方法对2015年5月至2016年4月我院收治的60例大面积脑梗塞患者进行回顾性研究,所有患者均进行多层螺旋CT平扫及CT血管造影(CTA)检查,观察记录CT平扫阳性结果和颈、脑动脉CTA情况。结果 60例患者经CT平扫检出34例阳性结果(56.67%);CTA检查发现有36例血管闭塞(包括10例大脑中动脉病变,9例大脑前动脉病变,9例大脑前中动脉同时闭塞,8例颈内动脉末端闭塞),24例血管狭窄(包括15例大脑中动脉病变,9例大脑前动脉病变)。结论大面积脑梗塞可以采用多层螺旋CT平扫和CTA检查做出较满意的诊断结果,具有较高的临床推广应用价值。
[Abstract]:Objective to study the clinical value of multislice spiral CT and CTA in the diagnosis of large area cerebral infarction. Methods 60 patients with large area cerebral infarction were treated from May 2015 to April 2016 in our hospital. Retrospective study. All the patients were examined by multislice spiral CT plain scan and CT angiography (CTAA). The positive results of CT plain scan and neck were observed. Results Thirty-four cases of cerebral artery CTA were detected by plain CT scan, and the positive results were 56.67%. CTA showed that there were 36 cases of vascular occlusion (including 10 cases of middle cerebral artery lesions 9 cases of anterior cerebral artery lesions 9 cases of anterior middle cerebral artery occlusion and 8 cases of end occlusion of internal carotid artery). 24 cases of vascular stenosis (including 15 cases of middle cerebral artery lesions and 9 cases of anterior cerebral artery lesions). Conclusion large area cerebral infarction can be diagnosed by multislice spiral CT plain scan and CTA. It has high clinical application value.
【作者单位】：广西医科大学第四附属医院柳州市工人医院放射科;
【分类号】：R743.33;R816.4
【正文快照】： 0　引言作为一种预后较差的缺血缺氧性脑血管并发症,大面积脑梗死多发于中老年群体,其机制主要是脑动脉主干闭塞或严重变窄所致,该病会引发一系列的临床症状,诸如意识障碍、口角歪斜、头痛呕吐、大小便失禁等等,有着较高的致残致死率[1]。研究表明[2],大面积脑梗死在脑梗死患

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