64排CTA对颅内病变血管内介入手术前的血管评估研究

Evaluation of Vascular Evaluation of 64 CTA on Intravascular Intervention of Intracranial Lesions

目的探讨64排CTA对颅内病变血管内介入手术前的血管评估。方法选取赣州市立医院2014年1月~2017年6月期间收治的颅脑血管病变患者68例为研究对象,所有患者均采用64排螺旋CTA血管成像技术进行检查,并将其结果与手术结果进行比较。结果 68例患者中血管走行及迂曲程度与DSA对照完全一致,软斑块130块,中质斑块72块,硬斑块132块;颈总动脉发现斑块共132块,颈内动脉共发现斑块88块,大脑前中后动脉发现斑块共33块,双侧椎动脉共发现斑块39块,基底动脉共发现斑块42块,以DSA检查结果为金标准,敏灵度97.44%,特异度72.73%,准确性95.81%,漏诊率7.19%。结论 64排CTA对颅内病变血管内介入手术前的血管评估CTA具有对病变血管内介入手术前风险判断和手术风险降低的良好指导性。

Objective To evaluate the vascular evaluation of 64-row CTA on intravascular invasion of intracranial lesions.Methods Sixty-eight patients with craniocerebral vascular disease treated in Ganzhou Municipal Hospital from January 2014 to June 2017 were selected.All patients were examined by 64-slice spiral CTA angiography.The results were compared with those of operation Compare.Results There were 130 cases of plaque and 72 cases of plaque and 132 cases of hard plaque.There were 132 plaques and common carotid arteries in common carotid arteries.88 pieces of plaque were found,33 were found in the anterior and posterior arteries of the brain,39 were found in the bilateral vertebral arteries,42 were found in the basilar artery,and the DSA test was gold standard.The sensitivity was 97.44%,Specificity 72.73%,accuracy 95.81%,missed diagnosis rate 7.19%.Conclusion Sixty-four rows of CTA have a good indication of the risk assessment of intracoronary vascular intervention and the reduction of surgical risk before intravascular intervention of intracranial lesions.