首页|64排螺旋CT血管成像在锁骨下动脉盗血综合征的临床应用

64排螺旋CT血管成像在锁骨下动脉盗血综合征的临床应用

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目的:探讨64排螺旋CT血管造影在诊断锁骨下动脉盗血综合征中的应用价值.方法:选择临床诊断锁骨下动脉盗血综合征12例患者先行64排螺旋CT检查,然后通过工作站进行后处理,包括曲面重组、最大密度投影及容积再现等,判断锁骨下动脉或无名动脉在椎动脉起始部闭塞或狭窄程度、长度及斑块性质;并与彩色超声多普勒及数字减影血管造影检查结果对照.结果:本组12例病例均行64排螺旋CT血管成像,全部行数字减影血管造影检查,6例行彩色多普勒超声检查.根据多层螺旋CT血管造影显示的狭窄部位、长度、程度,做出锁骨下动脉盗血综合征的诊断敏感性100%,特异性100%,与数字减影血管造影结果一致.结论:64排螺旋CT血管成像是评价无名动脉和锁骨下动脉狭窄或闭塞的有效方法,尤其对判断斑块性质有重要帮助,有助于锁骨下动脉盗血综合征诊断.
Value of 64-slice spiral CT angiography in diagnosis of subclavian steal syndrome
Purpose:To study the value of 64-slice spiral CT angiography in diagnosis of subclavian steal syndrome.Methods:The group of twelve subclavian steal syndrome patients underwent 64-slice spiral CT angiography.Maximun intensity projection,curved plane and volume rendering were reconstmcted for subclavian and innominate artery by CTA.Results:In this group,12 patients were underwent 64-slice spiral CT angiography,and all cases underwent digital subtraction angiography.6 cases underwent color Doppler ultrasonography.The results were consistent with the results of digital subtraction angiography,and the sensitivity of the diagnosis of the syndrome was 100%,Specificity of 100%.Conclusion:64-slice spiral CTA is an effective method for the assessment of subclavian steal syndrome,especially for judges plaque.

subclavian steal syndromespiral computed tomographangiography

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武汉大学基础医学院,湖北武汉430072

三峡大学中医临床医学院,宜昌市中医医院,湖北宜昌443000

锁骨下动脉盗血综合征 螺旋CT 血管成像

2016

贵阳中医学院学报
贵阳中医学院

贵阳中医学院学报

影响因子:1.18
ISSN:1002-1108
年,卷(期):2016.38(4)
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