[1]陈耀康,王新宇.双源CTA对椎动脉V3段变异的诊断价值及临床意义[J].医学信息,2019,32(04):158-159162.[doi:10.3969/j.issn.1006-1959.2019.04.052]
　CHEN Yao-kang,WANG Xin-yu.Diagnostic Value and Clinical Significance of Dual-source CTA for V3 Segmental Variation of Vertebral Artery[J].Journal of Medical Information,2019,32(04):158-159162.[doi:10.3969/j.issn.1006-1959.2019.04.052]
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双源CTA对椎动脉V3段变异的诊断价值及临床意义()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年04期
页码:
158-159162
栏目:
诊疗技术
出版日期:
2019-02-15

文章信息/Info

Title:
Diagnostic Value and Clinical Significance of Dual-source CTA for V3 Segmental Variation of Vertebral Artery
文章编号:
1006-1959（2019）04-0158-03
作者:
陈耀康; 王新宇
（攀枝花市中心医院医学影像中心放射影像科CT室，四川 攀枝花 617067）
Author(s):
CHEN Yao-kang; WANG Xin-yu
(CT Room,Radiography Department,Medical Imaging Center,Panzhihua Central Hospital,Panzhihua 617067,Sichuan,China)
关键词:
椎动脉V3段; 变异; 体层摄影术
Keywords:
V3 segment of vertebral artery; Variation; Tomography
分类号:
R816.2
DOI:
10.3969/j.issn.1006-1959.2019.04.052
文献标志码:
A
摘要:
目的 探讨双源CTA对椎动脉V3段变异的诊断价值及临床意义。方法 回顾性分析我院2012年7月~2013年1月行头颈部CTA检查的患者215例，重点观察椎动脉V3段的形态、走行及其与邻近结构的关系，综合评估椎动脉V3段的变异。结果 全部215例病例中，发现椎动脉V3段行程及分支变异者15例，发生率为7.05%，其中C2节段型椎动脉12例，发生率为5.68%，窗口型椎动脉2例，发生率为0.92%，小脑后下动脉起点下移1例，发生率为0.56%；发现C1后弓椎动脉沟骨桥形成13例，发生率6.05%。结论 双源CTA能够很好地显示椎动脉V3段的正常解剖及发现其行程、分支和椎动脉沟桥形成等常见变异，为临床颈部手术或颈性眩晕治疗提供参考，是临床了解椎动脉V3段情况的重要检查手段。
Abstract:
Objective To investigate the diagnostic value and clinical significance of dual-source CTA in the variation of V3 segment of vertebral artery. Methods A retrospective analysis of 215 patients with head and neck CTA examination from July 2012 to January 2013 in our hospital was conducted. The morphology, trajectory and relationship with the adjacent structures of the V3 segment of the vertebral artery were observed.Comprehensive assessment of the variation of the V3 segment of the vertebral artery. Results Among all 215 cases, 15 cases of vertebral artery V3 segment stroke and branch variation were found, the incidence rate was 7.05%, including 12 cases of C2 segmental vertebral artery, the incidence rate was 5.68%, and the window type vertebral artery occurred in 2 cases. The rate was 0.92%, and the origin of the posterior inferior cerebellar artery was moved down by one case, the incidence rate was 0.56%. After the C1, the vertebral artery sulcus bridge was formed in 13 cases, the incidence rate was 6.05%. Conclusion Dual-source CTA can display the normal anatomy of V3 segment of vertebral artery and find common variations such as stroke, branch and vertebral artery sulcus formation. It provides reference for clinical neck surgery or cervical vertigo treatment. It is a clinical understanding of vertebral artery. An important means of inspection for the V3 segment.

参考文献/References:


[1]张翔宇,于寰,段凯,等.头颈CTA对椎基底动脉变异的诊断价值[J].中国中西医结合影像学杂志,2018,16(3):299-301.
[2]黄学良,朱双芳,林雨聪,等.三维重建CT血管造影在C1-2水平椎动脉变异诊断中的价值[J].中国脊柱脊髓杂志,2018,28(4):315-319.
[3]许月坤,刘怡,肖永胜,等.多排螺旋CTA成像在老年先天性椎动脉变异诊断中的价值[J].中国老年学杂志,2017,37(24):6188-6190.
[4]王建林,李晓芬,冯朝阳.寰椎椎动脉沟环综合征的临床特征与影像学诊断价值[J].影像技术,2017,29(4):22-24.
[5]陈天金,陈艳琼,刘烨,等.64层螺旋CT血管成像显示寰枕融合伴寰枢关节脱位椎动脉V3段走行48例[J].武警医学,2014,25(11):1150-1151.
[6]郭文玲.急性后循环脑梗死的临床分析[D].郑州大学,2014.
[7]李小海,李晓兰.影像学在椎动脉V3段相关解剖及寰枢椎手术中的应用[J].现代医药卫生,2015,31(19):2927-2930.
[8]王建林,李晓芬,冯朝阳.寰椎椎动脉沟环综合征的临床特征与影像学诊断价值[J].影像技术,2017,29(4):22-24.
[9]朱希田,王以朋,徐杰.寰椎椎动脉沟变异与椎弓根置钉的三维CT分析[J].中国骨与关节外科,2014,7(6):451-455.
[10]廖立青,李义凯,赵德强,等.寰椎椎动脉沟的解剖学观测[J].解剖学杂志,2018,41(5):567-570.
[11]徐洪法,钱晓泽,杨芳,等.伴寰椎椎动脉沟环的颈性眩晕诊治体会[J].医学理论与实践,2016,29(15):2026-2028.

更新日期/Last Update: 2019-03-07