[1]邹佳妮 黄文才 陈信坚 吴 倩 陆 然 马廉亭 杨 铭 向伟楚.320排动态容积CTA诊断脊髓血管畸形的价值[J].中国临床神经外科杂志,2017,(12):814-818.[doi:10.13798/j.issn.1009-153X.2017.12.005]
 ZOU Jia-ni,HUANG Wen-cai,CHEN Xin-jian,et al.Value of 320-row CT angiography to the diagnosis of spinal vascular malformations[J].,2017,(12):814-818.[doi:10.13798/j.issn.1009-153X.2017.12.005]
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320排动态容积CTA诊断脊髓血管畸形的价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年12期
页码:
814-818
栏目:
论著
出版日期:
2017-12-25

文章信息/Info

Title:
Value of 320-row CT angiography to the diagnosis of spinal vascular malformations
文章编号:
1009-153X(2017)12-0814-05
作者:
邹佳妮 黄文才 陈信坚 吴 倩 陆 然 马廉亭 杨 铭 向伟楚
作者单位:4300070 武汉,中国人民解放军武汉总医院放射科(邹佳妮、黄文才、陈信坚、吴 倩、陆 然),神经外科(马廉亭、杨 铭、向伟楚)
Author(s):
ZOU Jia-ni1 HUANG Wen-cai1 CHEN Xin-jian1 WU Qian1 LU Ran1 MA Lian-ting2YANG Ming2 XIANG Wei-chu2.
1. Department of Radiology, Wuhan General Hospital, PLA, Wuhan 430070, China; 2. Department of Neurosurgery, Wuhan General Hospital, PLA, Wuhan 430070, China
关键词:
脊髓血管畸形320排动态容积CT血管成像DSA诊断
Keywords:
Spinal cord Vascular Malformation 320-row CT angiography Digital Subtraction Angiography
分类号:
R 744.1; R 455.3
DOI:
10.13798/j.issn.1009-153X.2017.12.005
文献标志码:
A
摘要:
目的 探讨320排动态容积CTA对脊髓血管畸形的诊断价值。方法 2013年1月至2016年6月应用320排动态容积CTA共诊断脊髓血管畸形20例,其中16例CTA检查后1周内行DSA检查。结果 同时完成CTA和DSA检查的16例脊髓血管畸形中,10例CTA与DSA获得的诊断相符,包括髓内动静脉畸形2例、髓周动静脉瘘3例和硬脊膜动静脉瘘5例。2例髓周动静脉瘘在CTA显示的供血动脉(1例)、病变范围(1例)与DSA不符;3例硬脊膜动静脉瘘在 CTA未显示供血动脉,其中2例在DSA未显示异常血管结构;1例海绵窦硬脑膜动静脉瘘在CTA被误判为髓内动静脉畸形。结论 320排动态容积CTA可作为筛查脊髓血管畸形的重要手段,但CTA可能遗漏小的供血动脉,或因扫描范围受到限制有可能导致脊髓血管畸形类型的误判。
Abstract:
【Abstract】 Objective To investigate the diagnostic value of 320-row CT angiography (320-CTA) for the diagnosis of spinal vascular malformations (SVMs). Method Twenty patients with SVMs indicated by 320-CTA underwent digital subtraction angiography (DSA) a week after 320-CTA. The outcomes of 320-CTA were compared with those of DSA in 16 patients. Result Of 16 patients with SVMs receiving both 320-CTA and DSA, 10 patients, including 2 patients with inner-medullary arteriovenous malformations (IMAVMs), 3 with peri-medullary arteriovenous fistula (PMAVFs) and 5 with spinal dural arteriovenous fistula (SDAVFs), had similar diagnoses made by 320-CTA and DSA and 6 had different diagnoses, including 2 in whom the feeding arteries and lesions extent displayed by 320-CTA were not consistent with those displayed by DSA, 3 with SDAF in whom the feeding arteries were not displayed by 320-CTA and DSA showed no abnormal vessels in 2 and 1 with cavernous sinus dural arteriovenous fistula diagnosed by DSA in whom IMAVM was suspected by 320-CTA. Conclusion It is suggested 320-row dynamic CT is a valuable method to screen out SVMs, but the small feeding artery is sometimes ignored by 320-CTA, and the misdiagnosis of vascular malformation may be induced by 320-CTA due to limited scanning range.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:黄文才,E-mail:417522457@qq.com
更新日期/Last Update: 2017-12-27