超声与CT、MRI于诊断颈动脉海绵窦瘘的应用对比

Comparison of Ultrasound and CT, MRI in the Diagnosis of Carotid Cavernous Fistula

目的对比超声、CT和MRI用于诊断颈动脉海绵窦瘘(Carotid cavernous fistula,CCF)的优缺点及各自局限性,为临床医生合理应用检查方法提供依据。方法以我院2008年1月-2017年3月共计42例CCF患者的超声、电子计算机X射线断层扫描(CT)、磁共振成像(MRI)、数字减影血管造影(DSA)的影像资料及住院记录做统计分析,评估各自优劣。结果超声的诊断准确度与CT、MRI相似,在临床应用条件与效能方面有差异性表现。结论对于颈动脉海绵窦瘘的诊断准确性,彩超与CT、MRI相当,临床应用条件更加宽泛,效率更高,可以临床推广。

Objective Contrast ultrasound, CT and MRI diagnosis of carotid cavernous fistula of the advantages and disadvantages and their limitations, for clinicians to provide reasonable basis for the inspection methods. Methods A total of 42 patients with CCF in our hospital from January 2008 to March 2017 ultrasound, CT, MRI, DSA imaging data and hospital records for statistical analysis to assess their strengths and weaknesses. Results Diagnostic accuracy of ultrasound and CT, MRI similarities in the clinical application of conditions and performance differences had shown. Conclusion For the diagnosis of carotid cavernous fistula accuracy, color Doppler ultrasound and CT, MRI, clinical application of more general conditions, more efficient, can be clinically promoted.