本文選題：動靜脈畸形　切入點(diǎn)：脊髓　出處：《中國臨床醫(yī)學(xué)影像雜志》2015年04期

【摘要】：目的:評價640層多層螺旋CT血管成像(CTA)與3.0T動態(tài)MR血管成像(CE-MRA)在診斷脊髓血管畸形中的臨床應(yīng)用價值。方法:19例臨床懷疑脊髓血管病變的患者,其中11例行多層螺旋CTA檢查,10例行CE-MRA檢查,16例接受DSA治療,3例接受手術(shù)治療。結(jié)果 :11例行CTA檢查中有4例為硬脊膜動靜脈瘺(SDAVF),4例為髓周動靜瘺(PMAVF),2例為脊髓動靜脈畸形(SCAVF),8例與DSA診斷一致,1例DSA為陰性;10例行MRA檢查中有7例為SDAVF,其中2例SDAVF CTA檢查未顯示供血動脈及瘺口,CE-MRA顯示很好的供血動脈及瘺口,2例為PMAVF,1例為SCAVF,均與DSA診斷一致。結(jié)論:3.0T CE-MRA對顯示脊髓血管畸形的供血動脈及瘺口,在診斷脊髓血管畸形中優(yōu)于CTA;脊髓CTA對脊髓血管畸形的診斷有很大的價值,可作為DSA檢查前的篩選檢查,并對DSA有指導(dǎo)作用;而3.0T CE-MRA可快速、無創(chuàng)、清晰地顯示脊髓血管畸形的供血動脈及瘺口;CTA、CE-MRA在診斷脊髓血管畸形、協(xié)助制定治療方案及術(shù)后隨訪等方面具有重要價值。
[Abstract]:Objective: to evaluate the clinical value of 64-slice spiral CT angiography (CTAA) and 3.0T dynamic Mr angiography (CE-MRA) in the diagnosis of spinal vascular malformation.Methods among 19 patients with suspected spinal cord vascular disease, 11 cases were examined by multilayer spiral CTA and 10 cases by CE-MRA. 16 cases were treated with DSA and 3 cases were treated by operation.緇撴灉 :11渚嬭CTA媯，

本文編號：1713824