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山东大学学报(医学版) ›› 2014, Vol. 52 ›› Issue (11): 49-54.doi: 10.6040/j.issn.1671-7554.0.2014.161

• 临床医学 • 上一篇    下一篇

三维DSA在后交通动脉起始部病变鉴别诊断中的价值

杨显存1,2, 葛彦彦2, 刘强3, 于斌超2   

  1. 1. 山东大学医学院, 山东 济南 250012;
    2. 山东大学附属省立医院介入诊疗科, 山东 济南 250021;
    3. 山东大学山东省医学影像学研究所, 山东 济南 250021
  • 收稿日期:2014-03-24 发布日期:2014-11-10
  • 通讯作者: 刘强.E-mail:2002md@163.com E-mail:2002md@163.com

Value of 3D-digital subtraction angiography in the differential diagnosis of vascular lesion originating from the posterior communicating artery

YANG Xiancun1,2, GE Yanyan2, LIU Qiang3, YU Binchao2   

  1. 1. School of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Interventional Radiology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China;
    3. Shandong University, Medical Imaging Research Institute, Jinan 250021, Shandong, China
  • Received:2014-03-24 Published:2014-11-10

摘要: 目的 探讨三维数字减影血管造影(3D-DSA)在鉴别诊断后交通动脉起始部动脉瘤与漏斗样扩张中的应用价值.方法 回顾性分析47例后交通动脉起始部病变的患者资料,所有患者均进行常规二维数字减影血管造影(2D-DSA)与3D-DSA检查,由2名医生对检查结果进行判断分析.结果 2D-DSA发现真阳性动脉瘤26例,漏斗样扩张6例,3D-DSA发现动脉瘤33例,漏斗样扩张14例, 2D-DSA与3D-DSA比较差异有统计学意义(χ2=19.03,P<0.05);对病变部位与周围血管间的关系显示中,两者比较差异有统计学意义(Z=-3.62,P<0.05).结论 三维DSA能清晰显示病变部位与毗邻血管之间的关系,在鉴别漏斗样扩张与动脉瘤的诊断中具有重要参考价值,值得推广.

关键词: 鉴别诊断, 数字减影血管造影, 三维重建, 漏斗样扩张

Abstract: Objective To explore the applicative value of three-dimensional digital subtraction angiography (3D-DSA) in diagnosing aneurysm and infundibular dilation (ID) originating from the posterior communicating artery. Methods A total of 47 patients with vascular lesions originating from the posterior communicating artery were analyzed retrospectively. All patients had undergone angiography with both conventional DSA (2D-DSA) and 3D-DSA, and the results were analyzed by two doctors. Results Altogether 26 aneurysms and 6 IDs were found by 2D-DSA, while 33 aneurysms and 14 IDs were detected by 3D-DSA, with a statistical significance between the detection rates (χ2=19.03, P<0.05). There was a statistical difference in displaying the relationship between the lesion and adjacent vessels (Z=-3.62, P<0.05). Conclusion The 3D-DSA can clearly display the relationship between the lesion and adjacent vessels, which is important in the differential diagnosis of ID and aneurysm, thus it is worthy of spreading.

Key words: Three dimensional, Differential diagnosis, Digital subtraction angiography, Infundibular dilation

中图分类号: 

  • R743.3
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