本文選題：腦膜瘤 + 體層攝影術(shù)��； 參考：《中國(guó)醫(yī)學(xué)影像學(xué)雜志》2017年10期

【摘要】：目的顱底腦膜瘤手術(shù)難度大,血管相關(guān)并發(fā)癥兇險(xiǎn)。本文探討多期CT血管造影在顱底腦膜瘤術(shù)前評(píng)估中的價(jià)值,為提高手術(shù)安全性提供參考。資料與方法收集2015年1月-2016年12月蚌埠醫(yī)學(xué)院第一附屬醫(yī)院經(jīng)手術(shù)病理證實(shí)的顱底腦膜瘤患者46例。所有患者術(shù)前均接受多期CT血管造影檢查。應(yīng)用多平面重組、容積再現(xiàn)、多期圖像融合等后處理技術(shù),觀察腫瘤供血?jiǎng)用}、瘤體與鄰近血管的關(guān)系,并與術(shù)中所見(jiàn)結(jié)果比較,評(píng)價(jià)術(shù)前血管造影結(jié)果與術(shù)中所見(jiàn)結(jié)果的一致性。結(jié)果 CT血管造影顯示,44例可清晰顯示腫瘤供血?jiǎng)用},其中單純頸外動(dòng)脈供血15例、頸內(nèi)外動(dòng)脈混合供血13例、單純頸內(nèi)供血16例,2例顯示不清。與術(shù)中所見(jiàn)對(duì)比,吻合率達(dá)84.78%,兩者檢查結(jié)果一致性較好(Kappa=0.78)。46例患者中,血管未受侵36例,血管受侵10例,多期CT血管造影與術(shù)中所見(jiàn)對(duì)比,吻合率達(dá)95.65%,兩者檢查結(jié)果一致性較好(Kappa=0.93);動(dòng)脈期CT血管造影與術(shù)中所見(jiàn)對(duì)比,吻合率為67.39%,兩者檢查結(jié)果一致性一般(Kappa=0.45)。結(jié)論多期CT血管造影能夠清晰地顯示顱底腦膜瘤的供血?jiǎng)用}及其與鄰近血管的關(guān)系,對(duì)術(shù)前準(zhǔn)確評(píng)估手術(shù)風(fēng)險(xiǎn)、制訂手術(shù)方案、提高手術(shù)安全性具有重要意義。
[Abstract]:Objective the operation of skull base meningioma is difficult and vascular-related complications are dangerous. This paper discusses the value of multiphase CT angiography in preoperative evaluation of meningioma of skull base and provides a reference for improving the safety of operation. Materials and methods 46 patients with meningioma of skull base confirmed by surgery and pathology in the first affiliated Hospital of Bengbu Medical College from January 2015 to December 2016 were collected. All patients underwent multistage CT angiography before operation. The multiplanar reconstruction, volume reconstruction, multiphase image fusion and other post-processing techniques were used to observe the relationship between tumor feeding artery, tumor body and adjacent blood vessels, and the results were compared with the results obtained during the operation. To evaluate the consistency between preoperative angiography and intraoperative findings. Results CT angiography showed that the tumor supplying artery could be clearly displayed in 44 cases, including 15 cases of external carotid artery supply, 13 cases of mixed internal and external carotid artery supply, and 2 cases of unclear internal carotid blood supply. The anastomosis rate was 84.78%. The results of the two examinations were in good agreement. Among the 46 patients, 36 cases had no vascular invasion, 10 cases had vascular invasion, and the results of multiphase CT angiography were compared with those of intraoperative findings. The anastomosis rate was 95.65 and the results of both examinations were in good agreement with that of Kappa-0.93%, and the anastomosis rate of arterial phase CT angiography was 67.39. The consistency between the two examinations was generally 0.45%. Conclusion Multi-phase CT angiography can clearly display the blood supply artery of meningioma of the skull base and its relationship with adjacent vessels. It is of great significance to evaluate the operation risk accurately before operation, to formulate the operation plan and to improve the safety of the operation.
【作者單位】： 界首市人民醫(yī)院影像中心;蚌埠醫(yī)學(xué)院第一附屬醫(yī)院放射科;上海德濟(jì)醫(yī)院放射科;
【分類號(hào)】：R730.44;R739.45

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