摘要
目的:探析旋转数字减影血管造影(rotational digital subtraction angiography,R-DSA)与磁共振血管造影(magnetic resonance angiography,MRA)在动脉瘤诊断中的应用。方法:临床收集我院2010年至2015年收治的可疑颅内动脉瘤待查患者110例,所有患者均进行R-DSA与MRA检查,所有患者均签署知情同意书。诊断结果以介入或手术结果为"金标准",比较MRA、R-DSA检查方法用于不同直径颅内动脉瘤的诊断率和准确度。结果:本组110例患者病灶情况均为单发,3D R-DSA、3D MRA两种检查方法的诊断符合率差异对比无统计学意义(P> 0. 05); 3D R-DSA法检测动脉瘤瘤体颈宽、纵径等指标显著高于3D MRA,差异有统计学意义(P <0. 05); 3D MRA、3D R-DSA检测瘤颈> 2. 8 mm组动脉瘤差异有统计学意义(P <0. 05),检测瘤颈≤2. 8 mm组动脉瘤与总体检出结果之间差异显著(P <0. 05)。结论:颅内动脉瘤应用MRA检查具有快速、无创、准确率高等优越性,对颅内动脉瘤的诊断具有重要的应用价值。
Objective:To compare the application of rotational digital subtraction angiography(R-DSA)and magnetic resonance angiography(MRA)in arterial aneurysm.Methods:110 suspected intracranial aneurysm patients undergoing the R-DSA and MRA and signing the informed consents from 2010 to 2015 were selected.According to intervention therapy or operation results,the diagnosis results were compared.Results:All the patients were confirmed with single tumors.The diagnosis accordance rate based on 3D R-DSA and 3D MRA was not significantly different(P>0.05).The detection rate on the transverse and vertical diameters based on 3D R-DSA was better than 3D MRA(P<0.05).The diagnosis rate of arterial aneurysm(>2.8 mm)based on two examinations was significantly different(P<0.05).The overall diagnosis rate of arterial aneurysm(≤2.8 mm)based on two examinations was significantly different(P<0.05).Conclusion:The MRA is featured as lower costs,speediness,non-invasive surgery and higher detection accuracy.
作者
贠红雨
刘海涛
吴琼
葛雷
张翠兰
李明
杨少亮
蔡宝坡
赵贺亮
Yuan Hongyu;Liu Haitao;Wu Qiong;Ge Lei;Zhang Cuilan;Li Ming;Yang Shaoliang;Cai Baopo;Zhao Heliang(MRI Room of the People's Hospital of Qianxi County,Hebei Tangshan 064300,China)
出处
《现代肿瘤医学》
CAS
2019年第5期856-859,共4页
Journal of Modern Oncology
基金
河北省医学科学研究重点课题计划(编号:20171414)
