首页|头颅CTA及DSA用于颅内动脉瘤诊断价值的对比

头颅CTA及DSA用于颅内动脉瘤诊断价值的对比

Comparison of Cranial CTA and DSA in the Diagnosis of Intracranial Aneurysms

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目的:对比和分析在颅内动脉瘤诊断中实施头颅电子计算机断层扫描血管造影(CTA)及头颅磁共振血管成像(DSA)检查的价值.方法:选取2020年7月—2022年12月郑州市第三人民医院诊治的49例颅内动脉瘤患者作为研究对象,对所有患者实施CTA检查及DSA检查,比较两种检查方法诊断结果并分析漏诊原因,比较两种检查方法不同部位、不同分级颅内动脉瘤符合率以及图像质量.结果:CTA颅内动脉瘤检出率为89.80%,DSA颅内动脉瘤检出率为95.92%,两种检查方法检出率比较,差异无统计学意义(P>0.05);两种检查方法在不同部位颅内动脉瘤中的诊断符合率比较,差异无统计学意义(x2=0.102、0.089、0.154、0.102、0.200、0.061,P>0.05);两种检查方法在不同分级颅内动脉瘤诊断中的符合率比较,差异无统计学意义(x2=0.048、0.042、0.051、0,P>0.05);CTA图像质量优于DSA,但是两种检查方式图像质量等级构成比比较,差异无统计学意义(x2=2.397、1.480、0.901,P>0.05).结论:头颅CTA及DSA在颅内动脉瘤中的诊断价值均较高,均能够有效降低临床漏诊率,临床可根据患者实际情况合理选择诊断方式,联合应用两种诊断方式对于提高疾病确诊率有非常重要的应用价值.
Objective:To compare and analyze the value of cranial computed tomography angiography(CTA)and magnetic resonance angiography(DSA)in the diagnosis of intracranial aneurysms.Methods:49 patients with intracranial aneurysms who were diagnosed and treated in the hospital from July 2020 to December 2022 were randomly selected.CTA and DSA were performed on all patients.The diagnostic results of the two methods were compared and the reasons for missed diagnosis were analyzed.Results:The detection rate of CTA and DSA intracranial aneurysms was 89.80%and 95.92%respectively.There was no significant difference between the two methods(P>0.05).There was no significant difference between the two groups in the diagnostic accuracy of intracranial aneurysms at different sites(x=0.102,0.089,0.154,0.102,0.200,0.061;P>0.05).There was no significant difference between the two methods in the diagnosis of intracranial aneurysms of different grades(x'=0.048,0.042,0.051,0;P>0.05).The image quality of CTA was better than that of DSA,but there was no significant difference in the composition ratio of image quality grades between the two examination methods(x2=2.397,1.480,0.901;P>0.05).Conclusion:Both cranial CTA and DSA have high diagnostic value in intracranial aneurysms,which can effectively reduce the rate of clinical missed diagnosis.The clinical diagnosis method can be reasonably selected according to the actual situation of patients.The combination of the two diagnostic methods has very important application value for improving the rate of disease diagnosis.

Intracranial aneurysmHead CTADSAImage qualityDiagnostic value

宋鑫

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郑州市第三人民医院,河南 郑州 450000

颅内动脉瘤 头颅电子计算机断层扫描血管造影 磁共振血管成像 图像质量 诊断价值

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(9)