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头颈部血管变异的256层螺旋CT诊断及临床探讨

Diagnosis and clinical study of 256 -slice spiral CT in vascular variation of head and neck
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摘要 目的:研究256层螺旋 CT 血管成像(CTA)对头颈部各种血管变异的诊断价值,并探讨其临床意义。方法回顾分析140例头颈部血管变异的 CTA 成像资料,通过多种重组方法对影像进行重建,并对变异血管进行分析。结果140例头颈部血管变异患者,其中椎动脉变异39例(27.86%);血管重复变异和缺如变异27例(19.29%);大脑后动脉变异71例(50.71%);其他血管变异7例(5.00%)。结论256层螺旋CTA 可很好地显示头颈部血管的正常解剖结构和解剖变异,有助于指导临床医生选择合理的手术路径及治疗方案,提高手术治疗的安全性。 Objective To investigate the diagnostic value of 256 -slice spiral CT angiography (CTA)in vascular variation of head and neck,and discuss its clinical significance.Methods Retrospectively analyzed 140 patients'CTA image with vascular variation of head and neck,which were analysed through a variety of reforma-tion method.Results In 140 patients with vascular variation of head and neck,there were 39 patients with vertebral artery variation(27.86%);27 patients with vascular duplication or absence(19.29%);71 patients with posterior cer-ebral artery variation (50.71%);7 patients with other kind of vascular variation (5.00%).Conclusion 256 -slice spiral CTA can clearly show normal anatomical structure and anatomical variation of head and neck arteries,which is helpful to guide the clinical doctor to make a reasonable surgical approach and treatment plan,improve the safety of surgical treatment.
作者 王健 杜晓兢 Wang Jian Du Xiaojing(Department of Radiology, Shanxi Provincial People & Hospital, Taiyuan , Shanxi 030012, China)
出处 《中国基层医药》 CAS 2016年第24期3681-3684,共4页 Chinese Journal of Primary Medicine and Pharmacy
关键词 血管畸形 头部 体层摄影术 X线计算机 Vascular malformations Head Neck Tomography,X -ray computed
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