摘要
目的:探讨三维CT血管成像检查在颅内动脉瘤破裂风险评估中的应用价值。方法:回顾性分析2018年3月至2021年3月该院收治的62例颅内动脉瘤患者的临床资料,所有患者入院后均给予三维CT血管成像检查,统计颅内动脉瘤破裂情况,依据是否发生颅内动脉瘤破裂分为发生破裂组与未发生破裂组,比较两组三维CT血管成像检查相关参数[动脉瘤直径、数目、入射夹角、瘤体长与瘤颈宽比值(AR)、瘤体长与载瘤动脉直径比值(SR)]水平、绘制受试者工作曲线(ROC)分析三维CT血管成像检查在颅内动脉瘤破裂风险评估中的应用价值。结果:62例颅内动脉瘤患者发生颅内动脉瘤破裂15例,占24.19%,未发生颅内动脉瘤破裂47例,占75.81%;两组肿瘤直径、肿瘤数目比较,差异均无统计学意义(P>0.05);发生破裂组入射夹角、AR、SR水平均高于未发生破裂组,差异有统计学意义(P<0.05);ROC曲线结果显示,入射夹角、AR、SR单独及联合检查评估颅内动脉瘤破裂风险的AUC分别为0.824、0.738、0.794、0.875,三者联合检查评估价值最高。结论:三维CT血管成像检查在颅内动脉瘤破裂风险评估中具有良好的临床应用价值。
Objective:To explore application value of three-dimensional CT angiography in risk assessment of intracranial aneurysm rupture.Methods:The clinical data of 62 patients with intracranial aneurysms admitted to this hospital from March 2018 to March 2021 were retrospectively analyzed.All patients underwent three-dimensional CT angiography after admission.The intracranial aneurysm rupture was statistically analyzed.According to the occurrence of intracranial aneurysm rupture,these patients were divided into rupture group and non-rupture group.The three-dimensional CT angiography related parameter levels[aneurysm diameter,the aneurysm number,the incidence angle,and the ratio of aneurysm length to neck width(AR),and the ratio of aneurysm length to parent artery diameter(SR)]were compared between the two groups.The receiver operating curve(ROC)was plotted to analyze the application value of three-dimensional CT angiography in the risk assessment of intracranial aneurysm rupture.Results:Among the 62 patients with intracranial aneurysm,15 cases of intracranial aneurysm rupture occurred,accounting for 24.19%,and 47 cases had not intracranial aneurysm rupture,accounting for 75.81%.There were no significant differences in the aneurysm diameter and the aneurysm number between the two groups(P>0.05).The incidence angle and the levels AR and SR in the rupture group were higher than those in the non-rupture group,and the differences were statistically significant(P<0.05).The ROC curve showed that the AUCs of single incidence angle,single AR,and single SR and combined detection for the risk assessment of intracranial aneurysm rupture were 0.824,0.738,0.794,and 0.875,separately.The value of the combined detection was the highest.Conclusions:Three-dimensional CT angiography has good clinical application value in the risk assessment of intracranial aneurysm rupture.
作者
熊立军
李超平
周星辉
漆蕾
XIONG Lijun;LI Chaoping;ZHOU Xinghui;QI Lei(Fengcheng People’s Hospital,Yichun 331100 Jiangxi,China)
出处
《中国民康医学》
2022年第16期127-129,133,共4页
Medical Journal of Chinese People’s Health
关键词
颅内动脉瘤
三维CT血管成像
入射夹角
瘤体长与瘤颈宽的比值
瘤体长与载瘤动脉直径比值
Intracranial aneurysm
Three-dimensional CT angiography
Incidence angle
Ratio of aneurysm length to aneurysm neck width
Ratio of aneurysm length to parent artery diameter
