头部螺旋CT血管造影诊断颅内动脉瘤的临床价值

doi:10.3969/j.issn.1671-7171.2025.02.013

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Abstract 【Objective】To evaluate the clinical value of head multislice spiral computed tomography angiography(MSCTA) in the diagnosis of intracranial aneurysm (IA).【Methods】The clinical data of 85 patients with suspected IA admitted to our hospital from February 2019 to February 2023 were retrospectively analyzed. All patients underwent digital subtraction angiography (DSA) and MSCTA. With surgical pathological diagnosis as the gold standard, the diagnostic results and diagnostic efficacy of the two diagnostic methods for IA were compared, and the detection values of the maximum diameter of the tumor neck and the maximum diameter of the tumor body were compared between MSCTA and DSA.【Results】48 patients were confirmed as IA by operation. The Kappa values of MSCTA and DSA for diagnosis of IA were 0.880 and 0.881, respectively, which were in good agreement with pathological diagnosis results (P<0.05). There was no significant difference in accuracy, specificity and sensitivity between MSCTA and DSA in the diagnosis of IA (P>0.05). There was no significant difference between MSCTA and DSA in the maximum diameter of tumor neck and the maximum diameter of tumor body (P>0.05).【Conclusion】MSCTA can effectively diagnose IA, and its diagnostic value is similar to that of traditional DSA, and it can be used as an auxiliary diagnostic method for DSA in clinic.

Key words： Intracranial Aneurysm Tomography, Spiral Computed Angiography Diagnosis

Received: 24 December 2023

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R651.122

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	WANG Yan
	LIU Xiquan

Cite this article:

WANG Yan,LIU Xiquan. Clinical Value of Head MSCTA in Diagnosis of Intracranial Aneurysms[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(2): 221-224.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2025.02.013 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2025/V42/I2/221

[1] 仇汉诚, 张轶群, 李晨,等. 颅内动脉瘤在神经血管疾病复合手术室的治疗效果分析[J].中华医学杂志, 2016, 96(7):547-550.
[2] 林锦胡, 王君宇, 陈风华, 等. 中高流量颅内-外血管搭桥术治疗复杂性颅内动脉瘤的疗效及桥血管的选择研究[J].中华神经医学杂志, 2019, 18(2):144-149.
[3] 廖黎庆, 陈如东, 杨洪宽, 等. 蛛网膜下腔出血的积血部位与颅内动脉瘤的位置关系[J].中华神经外科杂志, 2019, 35(6):577-580.
[4] 梁明礼, 何海勇, 秦峰,等. 颅内动脉瘤破裂并颅内血肿形成的早期显微外科手术治疗[J].中华神经医学杂志, 2015, 14(6):245-246.
[5] 李海波, 李小梅, 周少毅, 等. 数字减影血管造影引导下硬化治疗四肢肌肉间静脉畸形的疗效分析[J].中华小儿外科杂志, 2019, 40(10):925-929.
[6] 梁琰, 张永强, 李展展, 等. 螺旋CT血管造影对颅内动脉瘤诊断及疗效评估的临床分析[J].中国CT和MRI杂志, 2019,16(3):72-74.
[7] 高斌, 王诺川, 王硕, 等. 颅内动脉瘤形态学和血流动力学特点对夹闭术中动脉瘤破裂的预测作用[J].中华神经外科杂志, 2019, 35(3):288.
[8] 施铭岗, 佟小光. 颅内动脉瘤栓塞术后残留或复发的处理方法[J].中华神经外科杂志, 2016, 32(2):117-122.
[9] WANG C X, ZHANG D, WANG Z P,et al. Risk factors for the rupture of bifurcation intracranial aneurysms using CT angiography[J].Yonsei Med J,2016, 57(5):1178.
[10] 彭定伟, 武琛, 王芙昱, 等. 术中CT灌注成像在颅内复杂动脉瘤手术中的应用[J].中华神经外科杂志, 2015, 31(6):575-577.
[11] 董文涛, 张振, 靳张宁,等. 运用CTA筛查中国北方有脑卒中家族史人群的颅内动脉瘤患病率[J].中华神经医学杂志, 2015,14(3):274-277.
[12] 张梅. 多层螺旋CT血管造影三维重建技术应用于脑血管病变中的诊断效果分析[J].中国CT和MRI杂志, 2016,14(8):106-108.
[13] 余东, 黄伟. 64排128层CT在颅脑CTA成像诊断颅内动脉瘤的价值[J].中国CT和MRI杂志, 2016, 14(11):19-20.
[14] 张奕昭, 黄晓健, 胡海菁, 等. MSCTA及其后处理技术对出血性脑血管病变的诊断价值[J].中国CT和MRI杂志,2017,15(7):11-14.