三维计算机断层血管造影与数字减影血管造影对自发性蛛网膜下腔出血患者动脉瘤检测的比较

Journal of National Institute of Neurosciences Bangladesh Pub Date : 2023-01-15 DOI:10.3329/jninb.v8i2.63745

Jalal Uddin Mohammad Rumi, M. A. Haleem, Md Bashir Ahammed, S. Arifin, Md. Rakibul Islam, F. Chowdhury

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引用次数: 0

摘要

背景:自发性蛛网膜下腔出血患者动脉瘤的检测是治疗的关键问题。目的:本研究的目的是比较3d计算机断层血管造影和数字减影血管造影对自发性蛛网膜下腔出血患者动脉瘤的检测结果。方法:这项比较横断面研究于2013年9月至2015年2月在孟加拉国达卡达卡医学院医院(DMCH)神经外科和Cath实验室与私人诊断中心合作进行，为期6(06)个月。根据临床特征诊断为自发性SAH并经蛛网膜下腔血CT平扫证实的成年患者纳入研究病例。然后进行CTA和DSA检查，以便发现出血原因并制定治疗方案。所有螺旋cta均在螺旋ct扫描上进行。在DMCH Cath实验室经股骨入路行4条血管DSA。结果:本研究共招募了37例自发性蛛网膜下腔出血患者。CT血管造影显示动脉瘤30例(81.08%)。02例(05.41%)患者发现AVM, 5例(13.51%)患者CTA未发现任何异常。37例患者中，DSA显示动脉瘤32例(86.49%)，AVM 02例(05.41%)，阴性03例(8.11%)。CT血管造影中有25例(67.57%)为单动脉瘤。在DSA中，27例(72.97%)患者为单动脉瘤。动脉瘤在CTA和DSA上的平均大小分别为6.70±3.04 mm和6.75±2.94 mm (p>0.05)。CTA和DSA检查动脉瘤颈宽的平均值分别为3.86±2.06 mm和3.41±1.67 mm (p>0.05)。所有在CTA中发现的动脉瘤在DSA中也能被发现。结论:综上所述，CTA与DSA对动脉瘤大小、颈宽及位置的检测结果相同，差异无统计学意义。孟加拉国国家神经科学研究所杂志，2022年7月;8(2):121-125

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Comparison of 3D-Computed Tomographic Angiography with Digital Subtraction Angiography for Detection of aneurysms among Spontaneous Subarachnoid Haemorrhagic Patients

Background: Detection of aneurysms among spontaneous subarachnoid haemorrhagic patients is a crucial issue for management. Objectives: The purpose of the present study was to compare the findings of 3D-computed tomographic angiography with digital subtraction angiography for detection of aneurysms among spontaneous subarachnoid haemorrhagic patients. Methodology: This comparative cross-sectional study was carried out in the Department of Neurosurgery and Cath Lab of Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh in collaboration with private diagnostic centre from September 2013 to February 2015 for a period of six (06) months. Adult patients diagnosed as a case of spontaneous SAH based on clinical features and confirmed by plain CT evidence of subarachnoid blood were included as study cases. Then both CTA and DSA were done in order to detect the cause of bleeding and make a treatment planning. All spiral CTAs were performed on a helical CT-Scan. Four vessels DSA were performed via a femoral approach in DMCH Cath Lab. Result: A total number of 37 patients presented with spontaneous subarachnoid haemorrhage were recruited for this study. CT Angiogram revealed aneurysm in 30(81.08%) patients. AVM found in 02(05.41%) patients and in 5(13.51%) patients CTA was negative for any abnormality. DSA of 37 patients revealed aneurysm in 32(86.49%) patients, AVM in 02(05.41%) patients and negative findings in 03(8.11%) patients. In CT Angiogram 25(67.57%) patients had single aneurysm. In DSA, 27(72.97%) patients had single aneurysm. The mean of the size of the aneurysms in CTA and DSA were in 6.70±3.04 mm and 6.75±2.94 mm (p>0.05). The mean of the neck width of the aneurysms in CTA and DSA were 3.86±2.06 mm and 3.41±1.67 mm (p>0.05). All aneurysm detected in CTA were also revealed in DSA. Conclusion: In conclusion the size, neck width and the location of aneurysm are detected in CTA and DSA equally without any statistical significant difference. Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):121-125

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Journal of National Institute of Neurosciences Bangladesh

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