64排螺旋CT血管成像在脑动静脉畸形诊断中的应用

目的探讨64排螺旋CT血管成像在脑动静脉畸形诊断中的应用。方法选取我院2010年7月——2012年6月间收治的49例脑动静脉畸形患者,对所有患者采用CT血管成像检查。结果所有患者均显示出不同程度的畸形血管巢和其引流静脉及供血动脉,共发现引流静脉56支,供血动脉63支,其中,单支动脉供血23例,多支动脉供血28例,有13例患者出现合并脑出血现象,8例患者出现出血后脑软化现象,6例患者出现合并供血动脉瘤。结论 64排螺旋CT血管成像技术能够进行无创显示脑动静脉畸形的畸形血管巢、引流静脉、供血动脉等,为患者治疗方案的确定及术后随访提供了依据。

Objective To investigate the 64-slice spiral CT angiography in the diagnosis of cerebral arteriovenous malformations.Methods 49 cases admitted in ourhospital between July 2008-June 2011 brain arteriovenous malformation patients using CT angiography in all patients.Results All patients showed varying degrees of abnormal blood vessels nest and draining veins and feeding arteries and draining veins were found in 56,63 of the feeding artery,which single-branch artery in 23 cases,multi-branch artery 28 cases,13 cases of patients with cerebral hemorrhage phenomenon,eight cases of bleeding in patients with brain softening,6 patients combinedblood supply to the aneurysm.Conclusion 64-slice spiral CT angiography noninvasive cerebral arteriovenous the malformation vascular malformation nest,draining veinsfeeding artery,provides a basis for patients determine treatment programs and the postoperative follow-up.