摘要
目的：探讨CTA在自发性脑出血早期病因诊断治疗中的作用。方法：回顾性分析138例自发性脑出血患者的CTA检查，并结合DSA造影结果，评价CTA在自发性脑出血中的价值。结果：138例患者中发现56例（43．8％）出血继发于脑血管病变；其中，动脉瘤29例（CTA发现31个动脉瘤），脑动静脉．畸形21例，硬膜动静脉瘘3例，静脉窦血栓形成2例，烟雾病1例。结论：CTA是自发性脑出血早期病因诊断的首选方法。
Objective： Spontaneous intracerebral hemorrhage （CTA） explore in early diagnosis and treatment of the etiology. Methods： A retrospective analysis of 138 cases of spontaneous intracerebral hemorrhage CTA, and DSA, combined with the results evaluationof CTA in the value of spontaneous intracerebral hemorrhage. Results： 138 patients found 56 eases （43.8%） secondary to cerebral vascular hemorrhage; of these, 29 cases of aneurysm （CTA found 31 aneurysms）, 21 cases of cerebral arteriovenous malformations, dural arteriovenous fistula in 3 eases , venous sinus thrombosis in 2 eases, 1 case of moyamoya disease. Conclusion： CTA is the etiological diagnosis of spontaneous intracerebral hemorrhage preferred method.
关键词
自发性脑出血
DSA
CTA
CT Angiography
Digital subtraction angiography
Spontaneous encephalorrhagia
