中国临床医学影像杂志2012，Vol.23Issue(2)：91-95,5.
256层螺旋CT全脊髓血管造影诊断脊髓动静脉瘘的临床应用价值
Clinical value of CT spinal angiography in diagnosing spinal arteriovenous fistula with 256-detector row spiral CT
摘要
Abstract
Objective: To explore the clinical value of CT spinal angiography with 256-detector row spiral CT in diagnosing spinal arteriovenous fistula. Materials and Methods: Thirteen patients with initial MR and clinical manifestations suggestive of spinal vascular diseases underwent CT spinal angiography. Among them, 11 patients took DSA examination within 3 to 5 days after CT scan, and 8 patients underwent surgical treatment. Results: Seven cases of 13 patients were diagnosed as dural arteriovenous fistula(SDAVF) and 6 cases were spinal cord perimedullary arteriovenous fistula(SPMAVF), which were consistent with the diagnosis of DSA or surgery. All the 13 patients showed the abnormality of spinal cord vessels and the range of lesions clearly by CT spinal angiography. In the 7 cases of SDAVF, CTA displayed 5 feeding vessels and level of fistula opening in 6 cases, which were consistent with the DSA or surgery. One case was negative in DSA; In 6 cases with .SP-MAVF, CTA displayed 3 feeding vessels and level of fistula opening in 5 cases, which were consistent with the DSA or surgery. Conclusion: CT spinal angiography with 256-detector row spiral CT can show the extent of arteriovenous fistula, feeding artery and the level of fistula clearly. It is safe, non-invasive, rapid compared with DSA, and can be a necessary means for screening exam before DSA, serve as a DSA examination before surgery and postoperative follow-up, or even partially replace DSA.关键词
动静脉瘘/脊髓疾病/血管造影术/体层摄影术,螺旋计算机Key words
Arteriovenous fistula/ Spinal cord diseases/ Angiography/ Tomography, spiral computed分类
医药卫生引用本文复制引用
曹际斌,高思佳,韩鹏,崔玲玲,王涛,朱玉森,李燕燕..256层螺旋CT全脊髓血管造影诊断脊髓动静脉瘘的临床应用价值[J].中国临床医学影像杂志,2012,23(2):91-95,5.基金项目
辽宁省科技厅自然科学基金(2010225034) （2010225034）
辽宁省教育厅科学技术研究项目基金(L2010696) （L2010696）
