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目的:加深对颈动脉假性动脉瘤DSA表现特点的认识，探讨其诊断价值。方法：由两名有经验的放射学医师对16例颈动脉假性动脉瘤的血管造影及临床资料进行同顾性分析。结果：16例患者经DSA检查均能明确诊断，其中颈总动脉者1例，颈动脉分叉处9例，颈内动脉5例，颈外动脉1例。DSA主要表现为：所有瘤腔内造影剂滞留，瘤腔内形成涡流者12例，动脉瘤开口处“喷射征”17例，颈动脉分叉角度增大，颈内、外动脉移位者12例。结论：DSA是诊断颈动脉假性动脉瘤最有价值的检查方法，它有利于临床治疗方式的选择。
Objective: To deepen the understanding of the features of DSA of carotid artery pseudoaneurysm and to explore its diagnostic value. Methods: Two experienced radiologists performed a prospective analysis of angiographic and clinical data of 16 patients with carotid pseudoaneurysm. Results: All the 16 patients were confirmed by DSA, including 1 carotid artery, 9 carotid bifurcation, 5 carotid artery and 1 carotid artery. The main manifestations of DSA were as follows: all the contrast agent in the tumor cavity was retained, there were 12 cases of vortex formation in the tumor cavity, 17 cases of “jet injection” at the opening of the aneurysm, the bifurcation angle of the carotid artery increased, and the displacement of the internal and external arteries 12 example. Conclusion: DSA is the most valuable method for the diagnosis of carotid pseudo-aneurysm. It is helpful for the choice of clinical treatment.