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64排CTA在脑动脉瘤合并自发性蛛网膜下腔出血的临床应用 被引量:9

The Clinical Application of 64 Row CT Angiography in Brain Aneurysms Provocate Spontaneous Subarachnoid Hemorrhage
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摘要 目的:探讨64排螺旋CT头颈部CT血管成像(CTA)检查对脑动脉瘤合并自发性蛛网膜下腔出血的临床应用价值。方法:对27例临床怀疑为脑动脉瘤合并自发性蛛网膜下腔出血的患者行头颈部64排CT血管成像,观察颅内动脉瘤和头颈部血管情况,并结合临床进行分析。结果:在27例自发性蛛网膜下腔出血的患者中,CTA发现25例共27个动脉瘤,另外2例CTA未发现动脉瘤。颈内动脉狭窄3例,钙化斑块3例,粥样斑块1例,走行迂曲2例;椎动脉一侧狭窄2例,双侧狭窄1例,起源异常1例,椎动脉变异1例。结论:64排CT头颈部CTA对脑动脉瘤合并自发性蛛网膜下腔出血的病因诊断及术前指导有着重要的临床应用价值。 Objective: To study Clinical Application Value of 64 - detector row CT angiography diagnose imracranial aneurysm in spontaneous subarachnoid hemorrhage. Methods: ItS done of head and neck of the line in CT angiography of 27 eases spontaneous sub- arachnoid hemorrhage patients, to observe the head and neck blood vessels and diagnose intraeranial aneurysm, then analysis combined with clinical date. Results : In the 27 cases of spontaneous subarachnoid hemorrhage patients, there were 27 aneurysm could be found in 25 cases, and other 2 cases were not found aneurysm in the CTA. Internal carotid artery stenosis could be found in 3 patients, and calci- fied plaque in 3 cases, blood vessels tortuous 1 cases; unilateral vertebral artery stenosis in 2 cases, bilateral stenosis 1 case, anomalous origin of vertebral artery 1 case, the variation of vertebral artery 1 case. Conclusion :64 row CTA has important clinical application value in the preoperative diagnosis of spontaneous subarachnoid hemorrhage.
出处 《中国伤残医学》 2014年第7期22-23,共2页 Chinese Journal of Trauma and Disability Medicine
关键词 脑动脉瘤 自发性蛛网膜下腔出血 CT血管成像 Brain aneurysms Spontaneous subaraehnoid hemorrhage CT angiography
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