| 朱晓红,钟亚鼎,李小虎,等.头颈部 CT血管造影对自发性脑出血病因学诊断的应用价值[J].安徽医药,2020,24(11):2203-2206. |
| 头颈部 CT血管造影对自发性脑出血病因学诊断的应用价值 |
| The value of CT angiography in the etiological diagnosis of spontaneous cerebral hemorrhage |
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| DOI：10.3969/j.issn.1009?6469.2020.11.021 |
| 中文关键词: 脑出血 血管造影术，数字减影 脑底异常血管网病 颅内动静脉畸形 颅内出血，高血压性 法指， |
| 英文关键词: Cerebral hemorrhage Angiography,digital subtraction Moyamoya disease Intracranial arteriovenous malforma? tions Intracranial hemorrhage,hypertensive |
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| 中文摘要: |
| 目的探讨头颈部 CT血管造影(CTA)血管成像对于自发性脑出血(ICH)病因学诊断的应用价值。方法回顾性分析 2016年 1月至 2018年 12月安徽医科大学第一附属医院 200例 ICH病人的头颈 CTA资料及相关临床资料。分析 ICH病人不同病因学发病年龄之间的差异，比较 CTA与数字减影血管造影(DSA)诊断的符合度及 CTA血肿内造影剂外渗所致斑点征对于预测脑出血血肿扩大的意义，从而评价头颈 CTA在 ICH病人中的应用价值。结果 200例 ICH病人中由动脉瘤、动静脉畸形、烟雾病等血管性疾病所致的脑出血共计 65例，高血压性脑出血 106例，不明原因所致脑出血 29例，其中高血压性脑出血病人所占比例(53.0%)明显高于由其他血管性疾病所致 ICH。CTA与 DSA比较诊断效率达 94.3%。头颈 CTA斑点征对于预测 ICH病人后续血肿扩大，差异有统计学意义(F＝13.2，P＜0.001)其作为血肿扩大的预测因素阳性预测值达 80%，阴性预测值达 |
| 英文摘要: |
| Objective To investigate the significance of CTA angiography in the etiological diagnosis of spontaneous cerebral hem? orrhage.Methods Two hundred patients with spontaneous intracranial hemorrhage were enrolled in the First Affiliated Hospital ofAnhui Medical University from January 2016 to December 2018.Their demographic and imaging data were analyzed.The differencebetween the ages of different etiology of ICH patients were analyzed.The diagnostic consistency of CTA with DSA was compared.And to explore the significance of spot sign caused by contrast agent extravasation in CTA angiography for predicting the expansionof cerebral hemorrhage.Results Of the 200 patients with ICH，65 suffered from cerebral hemorrhage caused by vascular diseases such as aneurysm，arteriovenous malformation and moyamoya disease，106 cases of hypertensive intracerebral hemorrhage，and 29 cases of cerebral hemorrhage caused by unknown causes.The proportion of ICH patients with hypertension was 53.0%，which was significantly higher than that caused by other vascular diseases.The rate of lesions detected by CTA compared with DSA was 94.3%.Spot sign was significantly different for predicting subsequent hematoma enlargement in ICH patients(F＝13.2，P＜0.001)，and its positive predictive value for hematoma enlargement was 80%，and negative predictive value was 92.9%.Conclusion Head and neck CTA can be used as a routine examination method for ICH patients to guide clinical treatment. |
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