| 王君松.320排CTA在诊断及介入治疗颈部动脉夹层中的价值[J].浙江中西医结合杂志,2015,25(10): |
| 320排CTA在诊断及介入治疗颈部动脉夹层中的价值 |
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| 投稿时间：2015-02-03 修订日期：2015-04-02 |
| DOI： |
| 中文关键词: 320排CTA 数字减影血管造影 颈部动脉夹层 介入治疗 |
| 英文关键词:320-slice CT Angiography digital subtraction angiography cervical artery dissection endovascular therapy |
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| 中文摘要: |
| 目的：比较320排CT血管造影(CT angiography, CTA )和数字减影血管造影(Digital subtraction angiography, DSA)诊断颈部动脉夹层常见影像学征象的敏感性。方法：收集我院神经内科及放射介入收治的58例经DSA诊断为颈部动脉夹层的患者,回顾性分析并比较其320排CTA与DSA的影像学特征。结果：与传统的DSA检查结果相比,对照分析CTA诊断颈部动脉夹层的能力。结果发现CTA显示双腔征为67% (4/6),血管狭窄为94% (33/35),内膜瓣为85%(22/26),具有很高的敏感性；在显示血管闭塞及夹层动脉瘤方面二者无显著性差异(P>0.05)。结论：320排CTA作为一项有效、简便及非侵入性影像学诊断技术,可较清晰的显示颈部动脉夹层的多种影像学征象,对颈部动脉夹层临床诊治具有重要的指导意义。 |
| 英文摘要: |
| Objective This study was to compare the ability of 320-slice CT angiography (CTA) and digital subtraction angiography (DSA) images to diagnose common radiographic sensitivity of cervical artery dissection. Methods Fifty-eight patients between Mar 2011 and Jan 2014 with cervical artery dissection (CAD) assessed by DSA was confirmed. To analyzed and compared the 320-slice CTA and DSA imaging features. Results Compare with the conventional DSA examination result, the 320-slice CTA in the diagnosis of the double lumen sign was detected in 67%(4/6), lumen stenosis in 94%(33/35), intimal flap was clearly illustrated in 85% (22/26). Vessel occlusion displayed, dissecting aneurysm with CTA and DSA have no statistical significance(P>0.05). Conclusion 320-slice CTA as an effective, simple and non-invasive imaging diagnostic techniques, can provide including vessel wall and lumen, a variety of radiographic signs of CAD, for clinical diagnosis of cervical artery dissection and choose the appropriate intervention therapy have important guiding significance. |
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