| 宋锦宁,刘守勋,鲍刚,陈景宇,张晓东,王拓,,谢万福,王茂德,谢昌厚.动脉瘤性蛛网膜下腔出血的影像学特征及早期临床诊断[J].中国医学影像技术,2006,22(1):60~63 |
| 动脉瘤性蛛网膜下腔出血的影像学特征及早期临床诊断 |
| Radiological features and cl inical diagnosis at early stage of aneurismal subarachnoid hemorrhage |
| 投稿时间：2005-06-09 修订日期：2005-09-14 |
| DOI： |
| 中文关键词: 颅内动脉瘤 蛛网膜下腔出血 体层摄影术,X线计算机 血管造影术,数字减影 诊断显像 |
| 英文关键词:Int racranial aneurysm Subarachnoid hemorrhage Tomography, X-ray computed Angiography, digital sub-traction Diagnostic imaging |
| 基金项目: |
| 作者 | 单位 | E-mail | | 宋锦宁 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | jinnings@sina100.com | | 刘守勋 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | | | 鲍刚 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | | | 陈景宇 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | | | 张晓东 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | | | 王拓, | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | | | 谢万福 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | | | 王茂德 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | | | 谢昌厚 | 西安交通大学医学院第一附属医院神经外科,陕西西安 710061 | |
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| 中文摘要: |
| 目的 探讨动脉瘤性蛛网膜下腔出血(SAH) 的影像学特征及早期病因学诊断方法,并客观评价其优缺点。方法 对115 例动脉瘤性SAH 采用CT、CTA、MRI、MRA、DSA 等影像学检查并结合病史、临床表现进行早期临床诊断。结果 115 例SA H 均在急性出血期内(7 天) 被早期诊断, 其中有96 例患者在7 天内被DSA 检查诊断为动脉瘤,早期病因诊断率83. 5 % ,另19 例在7 天后二次造影诊断。全组9 例行MRA ,6 例发现动脉瘤;12 例行CTA ,9 例发现动脉瘤。结论 采用CT 及DSA 可以对动脉瘤性SA H 进行早期病因学诊断;该方法安全、准确,对动脉瘤性SA H 的早期诊断、早期治疗具有重要的应用价值。 |
| 英文摘要: |
| Objective To investigate the imaging features and the methods of early etiological diagnosis of aneurismal sub-arachnoid hemorrhage (SA H), and to evaluate their advantages and disadvantages objectively. Methods We used the ima-ging examinations such as CT, computed tomography angiography (CTA), MRI , MRA , combination with the history and clinical manifestations to make the early diagnosis of aneurismal SAH in 115 cases. Results SA H were all early diagnosed in acute bleeding stage (7days). Among them , 96 cases were diagnosed as aneurysms by DSA examinations in 7 days , the ear-ly etiological diagnosis rate was 83. 5 %; the other 19 cases were diagnosed by secondary DSA af ter 7 days. In the whole group, there were 9 cases being examined by MRA, 6 patient s were diagnosed as aneurysms; 12 cases were examined by CTA, 9 cases were diagnosed as aneurysms. Conclusion Aneurismal subarachnoid hemorrhage can be etiologically diag-nosed at early stage of the disease with CT and DSA. The proposed methods are safe and accurate. They are valuable forearly diagnosis and t reatment of aneurismal subarachnoid hemorrhage. |
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