DSA检查和介入治疗在蛛网膜下腔出血(SAH)应用的临床体会

The Clinical Experience of DSA Examination and Interventional Therapy in Subarachnoid Hemorrhage(SAH)

目的:总结分析DSA检查和介入治疗在蛛网膜下腔出血(SAH)中的应用效果。方法:研究对象为2015年5月～2017年5月期间收治的100例蛛网膜下腔出血(SAH)患者,对所有患者分别实施DSA检查、CTA检查,其中80例采用介入治疗,20例保守治疗,对比分析DSA与CTA诊断结果以及患者治疗效果。结果:DSA检查后病灶检出率为100.00%,与CTA检查后90.90%的病灶检出率差异性不具有统计学意义(P>0.05);DSA检查较CTA检查方法可为患者疾病治疗提供更多信息,如病灶大小、形态。介入治疗效果较常规保守治疗患者,其预后更好,差异性对比存在统计学意义(P<0.05)。结论:蛛网膜下腔出血患者实施DSA检查较CTA检查,可为疾病治疗提供更多信息,蛛网膜下腔出血患者采取介入治疗较常规保守治疗效果更好,满足适应症情况下可优先考虑。

Objective： To summarize the application of DSA and interventional therapy in subarachnoid hemorrhage （SAH）. Methods： One hundred patients with subarachnoid hemorrhage （SAH） who were admitted between May 2015 and May 2017 were enrolled. All patients underwent DSA and CTA, 80 of whom underwent interventional therapy. Conservative treatment, comparative analysis of DSA and CTA diagnosis results and patient treatment. Results： The detection rate of lesions after DSA was 100.00%, and the difference of the detection rate of 90.90% after CTA examination was not statistically significant （P〉0.05）. The DSA examination can provide more treatment for patients with disease treatment than CTA. More information, such as lesion size, morphology. The effect of interventional therapy was better than that of conventional conservative patients, and the difference was statistically significant （P〈0.05）. Conclusion： Patients with subarachnoid hemorrhage undergo DSA examination compared with CTA examination, which can be used for disease treatment. More information is provided by the treatment. Patients with subarachnoid hemorrhage have better interventional therapy than conventional conservative treatment, and priority can be given to meet the indications.