CT血管造影在神经内科急性脑血管病中的诊断价值

The value of CT angiography in the diagnosis of acute cerebrovascular disease in neurology

目的 研究CT血管造影(CTA)在神经内科急性脑血管病中的诊断价值。方法 回顾性分析神经内科收治的60例急性脑血管病患者作为研究对象,所有患者均接受CT血管造影检查,以数字减影血管造影(DSA)或者手术结果为金标准,分析CT血管造影的诊断结果。结果 DSA或者手术结果 显示:颅内动脉瘤24例,脑血管畸形10例,颅内自发性出血9例,脑缺血性疾病17例。CT血管造影对颅内动脉瘤、脑血管畸形、颅内自发性出血、脑缺血性疾病的检出率分别为91.67%(22/24)、90.00%(9/10)、77.78%(7/9)、100.00%(17/17)。结论 CT血管造影对急性脑血管病具有较高诊出率,明显降低了误诊率,具有较高的临床使用价值。

Objective To study the value of CT angiography(CTA)in the diagnosis of acute cerebrovascular disease in neurology.Methods 60 patients with acute cerebrovascular disease in neurology were selected as study subjects.All patients underwent CT angiography,and the digital subtraction angiography(DSA)or surgical findings were used as the gold standard to analyze the diagnostic results of CT angiography.Results DSA or surgical findings showed 24 cases of intracranial aneurysm,10 cases of cerebrovascular malformation,9 cases of spontaneous intracranial hemorrhage,and 17 cases of cerebral ischemic disease.The detection rates of CT angiography for intracranial aneurysm,cerebrovascular malformation,spontaneous intracranial hemorrhage,and cerebral ischemic disease were 91.67%(22/24),90.00%(9/10),77.78%(7/9),and 100.00%(17/17),respectively.Conclusion CT angiography has a higher diagnosis rate for acute cerebrovascular disease,and can significantly reduce the misdiagnosis rate,which contains a higher value of clinical application.