[1]赵曰圆　李　俊　陈　刚　李国栋　祝　源　李欢欢　汤　伟　金二亮　马廉亭.DSA、CT与MRI融合影像对颅内多发假性动脉瘤的诊治价值（附1例报告并文献复习）[J].中国临床神经外科杂志,2015,(07):407-409.[doi:10.13798/j.issn.1009-153X.2015.07.008]
　ZHAO Yue-yuan,LI Jun,CHEN Gang,et al.Value of DSA, CT and MRI images fusion to diagnosis and treatment of multiple intracranial pseudoaneurysms (case report and review of literature)[J].,2015,(07):407-409.[doi:10.13798/j.issn.1009-153X.2015.07.008]
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DSA、CT与MRI融合影像对颅内多发假性动脉瘤的诊治价值（附1例报告并文献复习）()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年07期
页码:
407-409
栏目:
论著
出版日期:
2015-07-30

文章信息/Info

Title:
Value of DSA, CT and MRI images fusion to diagnosis and treatment of multiple intracranial pseudoaneurysms (case report and review of literature)
文章编号:
1009-153X（2015）07-0407-03
作者:
赵曰圆　李　俊　陈　刚　李国栋　祝　源　李欢欢　汤　伟　金二亮　马廉亭
430070 武汉，广州军区武汉总医院神经外科
通讯作者：李　俊，E-mail：13006163722@163.com
Author(s):
ZHAO Yue-yuan;  LI Jun;  CHEN Gang;  LI Guo-dong;  ZHU Yuan;  LI Huan-huan;  TANG Wei;  JIN Er-liang;  MA Lian-ting.
Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, PLA, Wuhan 430070, China
关键词:
颅内多发假性动脉瘤; DSA; CT; MRI; 融合影像; 神经导航; 显微手术
Keywords:
Intracranial multiple pseudoaneurysms;  Digital subtraction angiography;  CT;  MRI;  Images fusion;  Neuronavigation;  Microsurgery
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2015.07.008
文献标志码:
A
摘要:
目的 报告1例通过DSA、CT与MRI融合影像联合神经导航诊治颅内多发假性动脉瘤患者的手术经验及体会。方法 回顾性分析1例外伤性颅内多发假性动脉瘤患者的临床资料，包括病史、症状、体征、影像学检查、手术过程及病理结果，总结DSA、CT与MRI融合影像对颅内多发假性动脉瘤的诊治价值及临床应用。结果 患者为25岁女性，车祸多发伤入院，经术前DSA检查为左侧大脑前A2段及胼周动脉多发假性动脉瘤，术前经3D-DSA与CT融合影像确定出血责任动脉瘤，经3D-DSA与MRI融合影像解决了精确定位，在神经导航指引下，一期手术完成了两个动脉瘤夹闭并切除。经病理证实为外伤性假性动脉瘤。结论 DSA与CT融合图像可以帮助判定多发动脉瘤中出血的责任动脉瘤，DSA与MRI融合图像输入神经导航为脑深部不能行介入栓塞治疗的颅内动脉瘤开创了新方法。
Abstract:
Objective To summarize the experience in diagnosing and treating intracranial multiple pseudoaneurysms with the help of DSA, CT and MRI images fusion combined with neuronavigation. Method The clinical data of 1 patient with traumatic intracranial multiple pseudoaneurysms were analyzed, including medical history, symptoms, signs, imaging examination, operative process and pathological results. Results The patient was a woman of 25 years and admitted to our hospital due to multiple traumas induced by a traffic accident. The preoperative DSA showed two intracranial pseudoaneurysms, which were on the second segment of the left anterior cerebral artery (A2) and pericallosal artery respectively. The pseudoaneurysm responsible for the cerebral hemorrhage was determined by preoperative DSA and CT images fusion. The pseudoaneurysms were accurately positioned by DSA and MRI images fusion. The complete resection of two aneurysms was achieved by one stage neuronavigatpr-assisted surgery. The postoperative pathological examination showed that the two aneurysms were traumatic pseudoaneurysms. Conclusions DSA and CT images fusion can help the surgeon to determine the aneurysm responsible for the intracranial hemorrhage. Inputting of DSA and MRI fusion images into the neuronavigation system is very helpful to surgery for the deep brain lesions which are not treated by endovascular embolization.

参考文献/References:

[1] 马廉亭，余　泽，杨　铭，等. 颅内动脉瘤破裂出血后假性 动脉瘤形成的实验和临床研究[J]. 中华神经外科杂志， 2004，20（2）：118-121.
[2] 陈风华，王君宇，奚　健，等. 颅内多发动脉瘤蛛网膜下腔 出血后责任动脉瘤的判定[J]. 中华神经科杂志，2010，43 （8）：555-557.
[3] 马廉亭，杨　铭，李　俊，等. DSA影像融合后处理新技术 进展及其在神经外科的应用[J]. 中国临床神经外科杂 志，2013，18（10）：626-629.
[4] 向伟楚，杨　铭，李　俊，等. DSA与MRI或MRA双三维 影像融合技术要点及在颅内动脉瘤诊治中的应用[J]. 中 国临床神经外科杂志，2015，20（2）：65-70.
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更新日期/Last Update: 2015-07-30