摘要
目的探讨磁共振血管造影(MRA)和数字减影全脑血管造影(DSA)诊断颅内动脉瘤(IAN)的价值。方法回顾性分析2016年1月-2018年6月间收治的96例疑为IAN患者临床资料,所有患者均经MRA和DSA检查。以手术病理检查作为金标准,比较MRA、DSA诊断IAN的效能,评估MRA、DSA显示IAN瘤颈的能力、测量IAN的颈宽、瘤体最大横径、顶颈距的差异。结果①两者诊断准确率对比,差异无统计学意义(P>0.05);②MRA、DSA准确显示颅内动脉瘤与载瘤动脉关系的比例对比,差异无统计学意义(P>0.05);③MRI测量颈宽、瘤体最大横径、顶颈距与DSA对比,差异均无统计学意义(P>0.05)。结论MRA和DSA诊断IAN效能均良好,均有较好临床应用价值。
Objective To evaluate the value of magnetic resonance angiography(MRA)and digital subtraction angiography(DSA)in the diagnosis of intracranial aneurysms(IAN).Methods The clinical data of 96 patients suspected as IAN who were admitted between January 2016 and June 2018 were retrospectively analyzed.All patients were examined by MRA and DSA.Surgical pathological examination was used as the gold standard,and the efficacy of MRA and DSA in diagnosing IAN was compared.The ability of MRA and DSA to display IAN tumor neck was measured.The neck width of IAN,maximum transverse diameter of tumor and parietal neck distance were measured.Results There was no significant difference in the diagnostic accuracy between the two groups(P>0.05).The was no statistically significant difference in the proportion of MRA and DSA accurately showing the relationship between intracranial aneurysms and parent artery(P>0.05).There were no significant differences in the measurement of neck width,maximum transverse diameter of tumor and parietal neck distance between by MRI and by DSA(P>0.05).Conclusion Both MRA and DSA have good efficacy for IAN,and have good clinical application value.
作者
李瑗
张继
田为中
刘从彬
陈锦华
吴志平
LI Yuan;ZHANG Ji;TIAN Wei-zhong(Department of Medical Imaging,Taizhou People's Hospital,Jiangsu Province,Jiangsu Taizhou 225300)
出处
《中国CT和MRI杂志》
2019年第11期29-31,共3页
Chinese Journal of CT and MRI
关键词
颅内动脉瘤
磁共振血管造影
数字减影全脑血管造影
诊断
Intracranial Aneurysm
Magnetic Resonance Angiography
Digital Subtraction Angiography
Diagnosis
