摘要
目的探讨数字减影血管造影(DSA)在蛛网膜下腔出血(SAH)的病因诊断和介入治疗中的作用。②方法对40例经CT诊断为SAH的患者进行DSA检查,其中20例加摄旋转DSA,8例脑动脉瘤患者行电解脱铂金弹簧圈(GDC)栓塞治疗,5例脑血管畸形行Onyx胶栓塞治疗。③结果常规+旋转DSA共检出脑动脉瘤27例(30个),脑血管畸形8例,脑底异常血管网(moyamoya病)2例,无明显异常3例。8例脑动脉瘤行GDC栓塞,5例动静脉畸形(AVM)行Onyx胶栓塞,均取得良好效果。④结论DSA是蛛网膜下腔出血病因诊断有效的方法;介入治疗安全、可靠,是脑血管疾病治疗的发展方向。
Objective To study the clinical value of DSA in etiology diagnosis and interventional treatment in subarachold hemorrhage. Methods DSA was applicated in 40 cases, all cases were diagnosed as SAH by brain CT. Among them 20 cases were also underwent rotational DSA . 8 cases with aneurysms were embolized by using Guglielmi detachable coil （GDC）. 5 cases with arteriovenus malformation（AVM） were embolized using Onyx glue. Results Rutine plus rotational DSA showed 30 aneurysms in 27 cases,8 AVM ,2 moyamoya ,and 3 cases were negative. 8 cases with aneurysms were embolized by using GDC. 5 cases with AVM were treated using Onyx glue. The therapy was effective. Conclusions DSA is an very helpful method in etiology studying in SAH, interventional treatment is safe and effective in some cerebral vascular disease.
出处
《华北煤炭医学院学报》
2005年第6期700-702,共3页
Journal of North China Coal Medical College
