摘要
目的:探讨DSA检查与CTA检查诊断自发性蛛网膜下腔出血的临床应用价值。方法:选取2014年8月-2015年8月本院收治的64例自发性蛛网膜下腔出血患者作为研究对象,分别采用DSA与CTA两种诊断方法进行检查,并对两种检查方法的诊断结果进行比较。结果:DSA诊断阳性48例,阳性率为75.0%;CTA诊断阳性45例,阳性率为70.3%,两种方法诊断阳性率的比较差异无统计学意义(P>0.05)。DSA和CTA两种方法诊断动脉瘤、动脉瘤及动脉瘤口直径相关测量数据的比较差异均无统计学意义(P>0.05)。但与CTA诊断相比,DSA诊断阳性率结果较好,测定动脉瘤,动脉瘤及动脉瘤口直径相关数据的效果较好,因能够有效显示较小动脉瘤,而不易出现漏诊情况。结论:临床诊断自发性蛛网膜下腔出血,与CTA扫描检查三维重建图像技术相比,DSA诊断自发性蛛网膜下腔出血的临床效果更加明显,其能够屏蔽颅骨影像,避免漏诊情况的发生,且对畸形血管团大小、脑动静脉畸形部位等情况的显示较好,因此依然是临床诊断自发性蛛网膜下腔出血的重要方法。
Objective： To investigate the clinical application value of DSA and CTA in diagnosis of spontaneous subarachnoid hemorrhage. Method： 64 cases of spontaneous subarachnoid hemorrhage in our hospital from August 2015 to August 2014 were used as the research objects, using DSA and CTA two diagnostic methods, and compared the diagnostic results of the two methods. Result： The positive rate of DSA was 48 cases, and the positive rate was 75.0%. The positive rate was 45 cases, the positive rate was 70.3%, the positive rate of the two methods was not statistically significant （ P〉0.05 ） . There were no statistical significance in the diagnosis of aneurysm, aneurysm, and the diameter of the aneurysm of the two methods （ P〉0.05 ） . But compared with CTA diagnosis, the positive rate of DSA was good, and the correlation data of the diameter of the aneurysm, aneurysm and the aneurysm were better. The results showed that it was effective to display small aneurysms. Conclusion： Clinical diagnosis of spontaneous subarachnoid hemorrhage, compared with CTA scan and scan, the clinical effect of DSA in diagnosis of spontaneous subarachnoid hemorrhage is more obvious. It can shield the skull image, avoid the occurrence of missed diagnosis.
出处
《中国医学创新》
CAS
2015年第36期53-55,共3页
Medical Innovation of China
基金
2013年江西省卫生厅科研计划课题(20132045)
