摘要
目的:通过对计算机三维脑血管成像技术(3D-CTA),数字减影血管造影技术(DSA)在颅内动脉瘤诊断准确性和特异性的比较,探讨前循环动脉瘤的诊断和手术治疗。方法:回顾性分析了2004年3月至2009年3月收治的53例怀疑前循环动脉瘤患者的临床资料。通过回顾性分析术前采用CTA和DSA确诊,并对两者的敏感性和准确性进行比较;采用翼点入路和纵裂入路夹闭动脉瘤。结果:CT-A检查20例确诊18例,DSA检查33例,确诊29例,术后按GOS评分,良好33例,死亡2例,其中3d内手术恢复良好15例,死亡1例。结论:3D-CTA是准确有效的检查手段,确诊后应在3d内早期手术夹闭动脉瘤可取得满意疗效。
Objective ： By 3 D - CTA, DSA in the diagnosis of intracranial aneurysms compared the accuracy and specificity. To investigate the diagnosis of anterior circulation aneurysms and surgical treatment. Methods：A retrospective analysis of March 2004 to March 2009 were treated 53 cases of anterior circulation aneurysms in patients with clinical data. Through the CT - A, DSA inspection, using the ptefional approach under and double the amount of clipping aneurysms. Results：According to GOS score,a good 39 cases,2 deaths,of which recovered well within 3 days of surgery in 15 cases and 1 died. Conclusions：3D - CTA,DSA are effective screening tool should be within 3 days of early surgical clipping of aneurysms can achieve satisfactory effect.
出处
《医学信息（中旬刊）》
2011年第7期2889-2890,共2页
Medical Information Operations Sciences Fascicule
关键词
前循环动脉瘤
诊断
治疗
Anterior circulation aneurysms
Diagnosis
Treatment
