[1]彭 川.双源CT血管成像在诊断头颈部血管疾病中的临床价值[J].医学信息,2018,(17):152-154.[doi:10.3969/j.issn.1006-1959.2018.17.048]
 PENG Chuan.Clinical Value of Dual-source CT Angiography in the Diagnosis of Head and Neck Vascular Diseases[J].Medical Information,2018,(17):152-154.[doi:10.3969/j.issn.1006-1959.2018.17.048]
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双源CT血管成像在诊断头颈部血管疾病中的临床价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2018年17期
页码:
152-154
栏目:
诊疗技术
出版日期:
2018-09-01

文章信息/Info

Title:
Clinical Value of Dual-source CT Angiography in the Diagnosis of Head and Neck Vascular Diseases
文章编号:
1006-1959(2018)17-0152-03
作者:
彭 川
攀枝花市中西医结合医院放射科,四川 攀枝花 617000
Author(s):
PENG Chuan
Department of Radiology,Panzhihua City Hospital of Integrated Traditional Chinese and Western Medicine,Panzhihua 617000, Sichuan,China
关键词:
双源螺旋CT血管成像血管发育变异
Keywords:
Key words:Dual-source spiral CTAngiographyVascular developmental variation
分类号:
R816.2
DOI:
10.3969/j.issn.1006-1959.2018.17.048
文献标志码:
A
摘要:
目的 分析西门子双源螺旋CT血管成像在诊断头颈部血管疾病中的临床价值。方法 选取我院2017年12月~2018年4月179例高度可疑头颈部血管性疾病患者,进行双源螺旋CT血管造影,应用MPR、CPR、MIP、VR对西门子双源螺旋CT血管造影成像,分析成像结果。结果 69例为动脉粥样硬化,其中脑动脉硬化62例,颈动脉硬化7例;血管狭窄或闭塞:颈动脉70例,椎基底动脉39例,锁骨下动脉42例,大脑前动脉18例,大脑中动脉18例,大脑后动脉24例;45例血管发育变异,33例为动脉瘤,1例为烟雾病,1例动静脉畸形,前后交通动脉开放分别为80例和55例,脑动脉正常者10例,颈动脉正常者34例。西门子双源螺旋CT可清楚显示病变的数目、大小、部位、形状以及与其周围血管和相邻颅骨的主要关系,与数字减影血管造影检查及手术所见结果大体一致。结论 双源螺旋CT血管成像在头颈部血管病变中具有极大的临床应用价值,其检查安全性较高、精确性良好,而且有扫描速度快,检查过程短等优点,同时大大降低了辐射剂量和对比剂用量,所得图像能够满足诊断需求,值得临床在头颈部血管病变的筛查、诊断及治疗后随访中首选应用。
Abstract:
Abstract:Objective To analyze the clinical value of Siemens dual-source spiral CT angiography in the diagnosis of head and neck vascular diseases.Methods A total of 179 patients with highly suspicious head and neck vascular disease from December 2017 to April 2018 were enrolled in our hospital.Double-source spiral CT angiography was performed.The angiography of Siemens dual-source spiral CT was performed using MPR,CPR,MIP and VR,and the imaging results were analyzed.Results 69 cases of atherosclerosis,including 62 cases of cerebral arteriosclerosis,7 cases of carotid atherosclerosis;stenosis or occlusion:70 cases of carotid artery,39 cases of vertebral basilar artery,42 cases of subclavian artery,18 cases of anterior cerebral artery,there were 18 cases of middle cerebral artery and 24 cases of posterior cerebral artery;45 cases of vascular developmental variation,33 cases of aneurysm,1 case of moyamoya disease,1 case of arteriovenous malformation,the anterior and posterior communicating artery arteries were 80 and 55,respectively,10 with normal cerebral arteries and 34 with normal carotid arteries.Siemens dual-source spiral CT can clearly show the number,size,location,shape of the lesions and the main relationship between the surrounding blood vessels and adjacent skulls, and the results of digital subtraction angiography and surgery are generally consistent.Conclusion Dual-source spiral CT angiography has great clinical value in the treatment of head and neck vascular lesions.It has high safety and accuracy, and it has the advantages of fast scanning speed,short inspection process and greatly reduced radiation.The dose and contrast dose,the obtained image can meet the diagnostic needs,it is worthy of clinical application in the screening,diagnosis and post-treatment follow-up of head and neck vascular lesions.

参考文献/References:

[1]章士正,张崤巍.炫速双源CT的临床应用[J].现代实用医学,2011,23(8):844-847. [2]张新生.128层螺旋CT不同扫描方向在头颈部血管成像中的应用[J].承德医学院学报,2015(3):218-220. [3]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(01):1-8. [4]霍占东.128层螺旋CT血管成像在头颈部血管疾病中的应用价值[J].影像研究与医学应用,2017(09):19-20. [5]金欣,韩淑祯,张晓光.双源CT头颈部CTA的应用进展[J].内蒙古民族大学学报(自然科学版),2014,29(1):102-103.

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更新日期/Last Update: 2018-09-01