双容积重建技术在显示颅内动脉瘤栓塞程度中的临床应用价值

The Clinical Application Value of the Double Volume Reconstruction Technique in the Display of Intracranial Aneurysm Embolization Degree

目的:探讨双容积重建技术在显示颅内动脉瘤栓塞程度中的临床应用价值。方法:随机抽取2013年11月~2015年3月于我院诊治的48例颅内动脉瘤患者,所有患者均行血管内栓塞术,在传统三维重建的基础上,进行双容积重建技术处理,并将他们的影像及病例资料加以整理,综合评定颅内动脉瘤栓塞的情况。结果:48例患者中共发现56枚动脉瘤,动脉瘤在颅内分布以后交通支及大脑中动脉最多,分别占30.36%和21.43%;通过对影像资料进行分析发现,动脉瘤的栓塞程度以完全栓塞所占的比例最大,占71.43%,其次为几乎完全栓塞,占21.43%,以基本栓塞所占比例最小,占7.14%;经图像及数据分析发现,动脉瘤最大径在6~10 mm范围所占比例最大,为55.36%,■5 mm次之,占30.36%。■22 mm所占比例最小,为5.35%。结论:双容积重建技术在血管内栓塞术中及术后复查中具有不可替代的作用,能够准确地显示弹簧圈在颅内动脉瘤栓塞的程度,有助于指导临床治疗,减轻患者痛苦。

Objective： To explore the clinical application value of the double volume reconstruction technique in the display of intmcranial aneurysm embolization degree. Methods： Randomly choose 48 cases of intracranial aneurysm patients were diagnosed and treated in our hospital from November 2013 to March 2015, all patients with endovascular embolization, on the basis of traditional three-dimensional reconstruction, processing double volume reconstruction technology and tidying their image and case data, synthetically evaluation embolization of intracranial aneurysms. Results： 56 aneurysms were found in 48 case patients, the most distribution of aneurysms in the brain was after ramus communicans and middle cerebral artery, 30.36% and 21.43% respectively. Through the analysis of image data, found that the complete embolism is the largest proportion in the aneurysm embolization degree, accounting for 71.43%,followed was almost entirely embolism, accounted for 21.43%, the basic embolism was the minimum proportion, accounted for 7.14%; The images and data analysis showed that the largest diameter of aneurysm was the 6-10ram range, accounted for 55.36%, followed was 5 mm, accounting for 30.36%, the smallest proportion was 22 mm, proportion of 5.35%. Conclusion： Double volume reconstruction technique in the endovascular embolization and postoperative has irreplaceable function, can accurately show the spring coil in the degree of embolization of intracranial aneurysms, helps to guide the clinical treatment, relieve the pain of patients.