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三维CT血管造影在前交通支动脉瘤诊治中的应用 被引量：2

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摘要 目的探讨三维CT血管造影(3D-CTA)在前交通支动脉瘤的诊断与治疗中的临床意义。方法对85例手术治疗的前交通支动脉瘤进行回顾性研究,其中术前直接由数字减影血管造影(DSA)检查确诊并手术26例,术前直接由3D-CTA检查确诊并手术51例,8例术前同时行DSA+3D-CTA检查并手术。67例术后复查3D-CTA,9例术后复查DSA。结果术前首先行3D-CTA检查的57例中,51例确诊并均经手术证实,6例3D-CTA检查结果阴性而补充DSA检查结果阳性。术前首先行DSA检查的28例中,26例确诊并均经手术证实,2例DSA检查结果阴性而补充3D-CTA检查结果阳性,所有动脉瘤均经显微手术夹闭,翼点入路73例,纵裂入路12例,疗效满意。结论3D-CTA可以作为前交通支动脉瘤的首选筛查手段,不但为手术入路的选择提供帮助,还可以作为术后常规复查手段。
作者 张路阳 陆威成 陶钧 王运杰
机构地区 中国医科大学附属第一医院
出处 《山东医药》 CAS 北大核心 2009年第48期90-91,共2页 Shandong Medical Journal
关键词 颅内动脉瘤 三维CT血管造影术 数字减影血管造影 显微手术
分类号 R651.122 [医药卫生—外科学] R814.43 [医药卫生—影像医学与核医学]
  • 相关文献

参考文献6

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二级参考文献35

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共引文献76

同被引文献20

  • 1诸葛启钏,陈伟建,杨运俊,谭显西,林晨,叶盛,张宇.3D-CTA在急性破裂颅内动脉瘤诊断和治疗中的应用[J].中华神经外科杂志,2007,23(6):403-406. 被引量：47
  • 2Kokkinis C, Vlychou M, Zavras GM, et al. The role of 3D-computed tomography angiography (3D-CTA) in investigation of spontaneous subarachnoid haemorrhage: comparison with digital subtraction angiography (DSA) and surgical findings. Br J Neurosurg, 2008, 22:71-78.
  • 3Franklin B, Gasco J, Uribe T, et al. Diagnostic accuracy and inter-rater reliability of 64-multislice 3D-CTA compared to intra- arterial DSA for intracranial aneurysms. J Clin Neurosci, 2010, 17:579-583.
  • 4Agid R, Andersson T, Almqvist H, et al. Negative CT angi- ography findings in patients with spontaneous subarachnoid hemorrhage: When is digital subtraction angiography still needed?. AJNR Am J Neuroradiol, 2010, 31:696-705.
  • 5Farsad K, Mamourian AC, Eskey CJ, et al. Computed tomog- raphic angiography as an adjunct to digital subtraction angiography for the pre-operative assessment of cerebral aneurysms. Open Neurol J, 2009,3:1-7.
  • 6Abujudeh HH, Kaewlai R, Farsad K, et al. Computed tomog- raphy pulmonary angiography: an assessment of the radiology repoRT. Aead Radiol,2009,16 : 1309-1315.
  • 7Farsad K, Hayek RA, Mamourian AC, et al. Computerized to- mographic angiography for preoperative assessment of the superficial temporal artery for external carotid artery to internal carotid artery bypass : Case illustration. Cases J, 2008,1 : 119.
  • 8Franklin B,Gaseo J,Uribe T,et al.Diagnostic accuracy and inter-rater reliability of 64-multislice 3D-CTA compared to intra-arterial DSA for intracranial aneurysms[J].J Clin Neurosci,2010,17:579-583.
  • 9Agid R,Andemsson T,Almqvist H,et al.Negative CT angiography findings in patients with spontaneous subarachnoid hemorrhage:When is digital subtraction angiography stil needed[J]. AJNR Am J Neuroradiol,2010,31:696-705.
  • 10Westerlaan HE,Gravendeel J,Fiore D,et al.Muhislice CT angiography in the selection of patients with ruptured intracranial aneurysms suitable for clipping or coiling[J].Neuroradiolo gy,2007,49(12) :997-1007.

引证文献2

二级引证文献25

山东医药
2009年 第48期

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