摘要
目的:探讨DSA在脑静脉窦血栓形成介入检查和治疗中的应用技巧和价值。材料和方法:对我院介入中心近期20例经临床和MRI、MRV诊断为颅内静脉窦血栓患者进行DSA检查,并对其中15例经DSA检查证实为脑静脉窦血栓形成患者进行静脉接触溶栓和机械性溶栓,对其中2例静脉窦狭窄患者进行支架成形术。结果:正确应用DSA设备,选择适合图像采集方式,调整C型臂至显示病变的最佳角度,合理调整高压注射器参数,提供清晰的路径图功能,为操作医生对静脉窦血栓形成病变的诊断、选择适合的介入治疗方法提供帮助。结论:DSA作为诊断脑静脉窦血栓形成和评价介入治疗效果的金标准,在脑静脉窦血栓形成介入检查和治疗中起到了极其重要的作用;合理应用DSA设备将有助于介入检查和介入治疗手术的成功。
Purpose： The role and technique of digital subtraction angiography （DSA） in the diagnosis and treatment of dural sinus thrombosis were analysed. Materials and Methods： Twenty patients were diagnosed as dural sinus thrombosis with MRI. They were studied with DSA and fifteen of them were treated with urokinase and mechanical thrombolysis. Angioplasty and stenting were performed in two patients. Results： With the proper use of DSA, choosing the adequate frame rate, adjusting the optimal angle of the C - arm, setting adequate parameter of the injector and clear road map, it may provide great help for the diagnosis and treatment of the dural sinus thrombosis. Conclusion： DSA examination is the ＂golden standard＂ for the diagnosis of dural sinus thrombosis. And the proper use of DSA will be key to successful treatment of dural sinus thrombosis.
出处
《中国医学计算机成像杂志》
CSCD
2006年第1期49-51,共3页
Chinese Computed Medical Imaging
关键词
静脉窦血栓形成
数字减影血管造影
介入放射学
Venous sinus thrombosis Digital subtraction angiography Interventional radiology
