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目的探讨640层CT血管成像在脑血管病诊断中的临床应用。方法回顾分析本院219例640层CT脑血管成像表现及与脑血管造影(DSA)及手术所见对比。结果共检出血管狭窄和闭塞56例,动脉瘤56例,血管变异61例,烟雾病9例,动静脉畸形10例,静脉窦血栓形成3例,原始舌下动脉1例,正常脑血管53例,其中6例与DSA相符,31例与术中所见一致。结论 640层CT血管成像对脑血管病的诊断具有安全、准确、快速的特点,值得临床推广应用。
Objective To investigate the clinical application of 640-slice CT angiography in the diagnosis of cerebrovascular disease. Methods Retrospective analysis of our hospital 219 cases of 640-slice CT angiography and cerebrovascular angiography (DSA) and surgical findings. Results There were 56 cases of vascular stenosis and occlusion, 56 aneurysms, 61 vascular diseases, 9 moyamoya disease, 10 arteriovenous malformations, 3 cases of sinus thrombosis, 1 case of primary hypoglossal artery, 53 cases of normal cerebrovascular Cases, including 6 cases consistent with DSA, 31 cases and intraoperative findings. Conclusion The 640-slice CT angiography is safe, accurate and rapid in the diagnosis of cerebrovascular disease. It is worthy of clinical application.