摘要
目的探讨宝石CT血管造影在脑血管疾病筛查与诊疗中运用价值。方法于2015年8月至2016年8月,在我院选择行脑血管疾病筛查的40例患者作为研究对象,对所有患者的临床资料进行回顾性分析,所有患者均进行CT平扫及CT血管造影检查,部分患者行磁共振成像、磁共振血管造影、数字减影血管造影检查,部分患者根据综合检查结果进行手术治疗。根据患者各类检测方式的检测结果综合分析CT血管造影在脑血管疾病筛查及诊疗中的效果。结果采取CT血管造影检查检出脑血管病变35例,5例患者脑血管无明显异常状况,采取CT血管造影检查脑血管病变的检出率88%。CT血管造影检出脑血管病变35例患者中1例脑动脉瘤患者采取数字减影血管造影检查确诊血管无异常,其余患者采取磁共振成像、磁共振血管造影、数字减影血管造影检查及手术治疗等综合诊断均确诊。采取综合诊断确诊40例患者中存在脑血管病变34例,无血管病变6例。采取CT血管造影检查脑血管病变的诊断准确性为98%与综合诊断100.0%相比差异无统计学意义,P<0.05。结论宝石CT血管造影在脑血管疾病筛查与诊疗中具有良好的运用价值,可在临床推广运用。
Objective To explore the application value of CT angiography in screening and diagnosis of cerebrovascular diseases. Methods From August 2015 to August 2016, 40 cases of cerebrovascular disease screening were selected in our hospital. The clinical data of all patients were analyzed retrospectively. All patients underwent CT plain scan and CT angiography, and some patients underwent magnetic resonance imaging, magnetic resonance an-giography, and digital subtraction angiography. Some patients underwent surgical treatment according to the results of comprehensive examination. The effect of CT angiography in screening and diagnosis and treatment of cerebrovascular diseases was comprehensively analyzed according to the results of various testing methods. Results 35 cases of cerebrovascular disease were detected by CT angiography. There was no obvious abnormal condition in 5 cases. The de-tection rate of cerebrovascular disease by CT angiography was 87.5%. In 35 patients with cerebral vascular lesions, 1 cases of cerebral aneurysm were diagnosed by digital subtraction angiography（DSA）, and the other patients were diag-nosed by magnetic resonance imaging, magnetic resonance angiography, digital subtraction angiography and surgical treatment. In the 40 patients diagnosed by comprehensive diagnosis, there were 34 cases of cerebrovascular disease and 6 cases of non vascular disease. The diagnostic accuracy of CT angiography for cerebrovascular diseases was97.5%, which was not different from that of combined diagnostic 100%, P〈0.05. Conclusion Gem CT angiography has a good application value in screening and diagnosis of cerebrovascular diseases, and can be applied in clinical practice.
作者
张元立
朱合伟
阮素娜
雷景伟
孟欢
张闯伟
Zhang Yuanli, Zhu Hewei, Ruan Suna, Lei Jingwei, Meng Huan, Zhang Chuangwei.(CT Room,Zhumadian City Hospital, Henan 463000, China)
出处
《实用医学影像杂志》
2018年第3期227-228,共2页
Journal of Practical Medical Imaging
关键词
血管造影术
脑血管障碍
诊断
Angiography
Cerebrovascular disorders
Diagnosis
