[1]赵曰圆　秦　杰　秦海林　黄　河　马生辉　向伟楚　杨　铭　宋　健　潘　力　孙荣辉　马廉亭.判断颅内多发动脉瘤出血责任动脉瘤的新方法[J].中国临床神经外科杂志,2021,26(05):321-323.[doi:10.13798/j.issn.1009-153X.2021.05.001]
　ZHAO Yue-yuan,QIN Jie,QIN Hai-lin,et al.A new method to confirm the aneurysm responsible for hemorrhage in patients with multiple intracranial aneurysms after subarachnoid hemorrhage[J].,2021,26(05):321-323.[doi:10.13798/j.issn.1009-153X.2021.05.001]
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判断颅内多发动脉瘤出血责任动脉瘤的新方法()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年05期
页码:
321-323
栏目:
论著
出版日期:
2021-05-25

文章信息/Info

Title:
A new method to confirm the aneurysm responsible for hemorrhage in patients with multiple intracranial aneurysms after subarachnoid hemorrhage
文章编号:
1009-153X（2021）05-0321-03
作者:
赵曰圆　秦　杰　秦海林　黄　河　马生辉　向伟楚　杨　铭　宋　健　潘　力　孙荣辉　马廉亭
430070 武汉，中国人民解放军中部战区总医院神经外科、中国人民解放军神经外科研究所、国家级重点学科神经外科（赵曰圆、秦　杰、秦海林、黄　河、马生辉、向伟楚、杨　铭、宋　健、潘　力、孙荣辉、马廉亭）
Author(s):
ZHAO Yue-yuan;  QIN Jie;  QIN Hai-lin;  HUANG He;  MA Sheng-hui;  XIANG Wei-chu;  YANG Ming;  SONG Jian;  PAN Li;  SUN Rong-hui;  MA Lian-ting.
Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
颅内多发动脉瘤; 蛛网膜下腔出血; 出血责任动脉瘤; 影像融合技术
Keywords:
Multiple intracranial aneurysm;  Subarachnoid hemorrhage;  Aneurysm responsible for hemorrhage;  Fusion image
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2021.05.001
文献标志码:
A
摘要:
目的 探讨3D-DSA/CT三维影像融技术在颅内多发动脉瘤破裂后判断出血责任动脉瘤中的临床应用价值。方法2016年1月至2021年1月收治10例颅内多发动脉瘤破裂出血，将10例病人出血后6 h内首次头颅CT与3D-DSA的数据经Dicom接口输入Siemens System Syngo X-WP工作站进行CT/3D-DSA影像融合，获得CT/3D-DSA融合影像。根据融合影像判断出血责任动脉瘤，并制定治疗方案。结果 10例中，开颅夹闭术治疗3例，支架辅助弹簧圈栓塞5例，单纯弹簧圈栓塞2例。一期成功处理责任动脉瘤后，二期行开颅夹闭术或弹簧圈栓塞治疗非责任动脉瘤。10例术后3~6个月DSA、CTA随访，动脉瘤均无复发，载瘤动脉通畅无狭窄。结论 3D-DSA/CT三维影像融技术对判断颅内多发动脉瘤破裂出血责任动脉瘤具有客观、精准价值，具有科学性、开创性与实用性。
Abstract:
Objective To explore the clinical value of 3D-DSA/CT three-dimensional image fusion technique in confirming the aneurysm responsible for hemorrhage in the patients with multiple intracranial aneurysm (MIA) after subarachnoid hemorrhage (SAH). Methods The first head CT within 6 hours after hemorrhage and 3D-DSA data of 10 patients with MIA who were admitted to our hospital from January 2016 to January 2021 were input into the Siemens System Syngo X-WP workstation via Dicom interface to obtain the CT/3D-DSA fusion images. The aneurysms responsible for hemorrhage were confirmed and the treatment plans were made according to the fusion images. Results Of these 10 patients, 3 patients were treated with microsurgical clipping, 5 with stent-assisted coiling, and 2 with embolization by simple coils. After successfully treating the responsible aneurysms in the first-stage operation, the non-responsible aneurysms were treated in in the second-stage operation by clipping or embolization. The DSA and CTA follow-up (3~6 months) outcomes showed no aneurysm recurrence and the parent artery patency without stenosis in all the patients. Conclusions The 3D-DSA/CT three-dimensional imaging fusion technique has objective and accurate value in confirming the aneurysm responsible for hemorrhage in the patients with MIA after SAH, which is scientific, innovative and practical.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：孙荣辉，E-mail：847900959@qq.com
马廉亭，E-mail：mlt1937@163.com
更新日期/Last Update: 2021-05-25