首页|经头颈部CT血管成像联合三维重建技术用于脑血管疾病动脉狭窄的诊断价值分析

经头颈部CT血管成像联合三维重建技术用于脑血管疾病动脉狭窄的诊断价值分析

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目的:分析经头颈部CT血管成像(CTA)联合三维重建技术用于脑血管疾病动脉狭窄的诊断价值.方法:选取2022年4月~2024年5月医院收治的96例疑似脑血管疾病患者,分别实施头颈部CTA检查、三维重建扫描检查,以数字减影血管造影作为诊断金标准,对比经头颈部CTA及其联合三维重建技术诊断的效果.结果:数字减影血管造影确诊阳性81例,阴性15例;单一头颈部CTA诊断阳性80例,阴性16例,漏诊10例,误诊9例;经头颈部CTA联合三维重建技术诊断阳性82例,阴性14例,漏诊1例,误诊2例.经头颈部CTA联合三维重建技术诊断灵敏度、阳性预测值、特异度、阴性预测值和准确率高于单一头颈部CTA检查(P<0.05).经头颈部CTA联合三维重建技术对不同程度动脉狭窄检出率高于单一头颈部CTA检查(P<0.05).结论:经头颈部CTA联合三维重建技术对脑血管疾病诊断效能较高,可准确评估动脉狭窄程度.
The Transhead and Neck CTA Combined with 3D Reconstruction Technique is Used for the Diagnostic Value Analysis of Artery Stenosis in Cerebrovascular Disease
Objective:To analyze the value of head and neck CTA reconstruction for the diagnosis of artery stenosis in cerebrovascular disease.Methods:Selected 96 patients with suspected cerebrovascular diseases admitted to the hospital from April 2022 to May 2024,and performed computed tomography angiography (CTA) examination and 3D reconstruction scan respectively,with digital subtraction angiography as the gold standard to compare the effect of head and neck CTA and its combined 3D reconstruction technology.Results:Digital subtraction angiography confirmed 81 cases positive and 15 cases negative;80 cases positive,16 cases negative,10 cases missed,9 cases misdiagnosed;82 cases positive by head and neck CTA combined with 3D reconstruction,14 cases negative,1 case missed,and 2 cases misdiagnosed.The diagnostic sensitivity,positive predictive value,specificity,negative predictive value and accuracy of combined head and neck CTA were higher than those of single head and neck CTA (P<0.05).The detection rate of CTA via head and neck and 3D reconstruction was higher for different degrees of arterial stenosis than for single head and neck CTA (P<0.05).Conclusion:Transhead and neck CTA combined with 3D reconstruction is highly effective for cerebrovascular disease and can accurately assess the degree of artery stenosis.

cerebrovascular diseaseartery stenosisCTA of head and neckthree-dimensional reconstruction technique

曾纬阳、黄莹、康晓强、邓娜

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中国人民解放军联勤保障部队第九一〇医院放射诊断科,福建泉州 362000

脑血管疾病 动脉狭窄 头颈部CT血管成像 三维重建技术

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(21)