中国实用妇科与产科杂志2012，Vol.28Issue(6)：445-448,4.
CT、MRI、3D-CTA、DSA诊断妊娠及产褥期出血性脑卒中7例分析
The Diagnosis of CT, MRI, 3D-CTA and DSA in Hemorrhagic Stroke during Pregnancy and Puerperium
摘要
Abstract
Objective To investigate the diagnostic value of the brain CT, MRI, 3D-CTA and DSA features of heraor-rhagic stroke during pregnancy and puerperium (HSPP). Methods Retrospective analysis of 7 cases of HSPP with the clinical findings and imaging data. After the onset in 7 patients, 7 cases underwent CT, 1 case underwent MRI, 2 cases underwent 3D-CTA, 4 cases underwent DSA. Results 6 cases of CT showed the local high-density video in the basal ganglia or lobe, and 1 case showed a small number of high-density video filling in the bilateral fissures. 1 case of MRI showed iso or high mixed signal on T1WI, and low mixed signal on T2WI. One 3D-CTA of two cases showed left parietal lobe high-density irregular vascular group, another one showed normal performance. DSA of four cases confirmed three cases with cerebral vascular AVM, and one case with normal performance. The two 3D-CTA findings were matched to the DSA findings. Cerebral imaging investigations showed 1 case with subaraohnuid hemorrhage (SAH), 2 cases with basilar ganglia hemorrhage, and 4 cases with lobar hemorrhage. There were 4 cases whose etiology was because of ruptured AVM,the diagnosis of 3 cases based on DSA, and 1 case based on CT and past history. Conclusion The brain CT and MRI were the preferred diagnosis means of HSPP, 3D-CTA and DSA examination could help to find etiology.关键词
出血性卒中/妊娠及产褥期/电子计算机体层扫描/三维计算机断层扫描血管造影/数字减影血管造影Key words
hemorrhagic stroke/pregnancy and puerperium/ computerized tomography/ three dimensional computed tomo-graphic angiography/ digital subtraction angiography分类
医药卫生引用本文复制引用
马英,尚涛,陈晓婉,曲圣涛,喻博,韩顺昌..CT、MRI、3D-CTA、DSA诊断妊娠及产褥期出血性脑卒中7例分析[J].中国实用妇科与产科杂志,2012,28(6):445-448,4.基金项目
沈阳科学技术计划项目(F10-205-1-10) （F10-205-1-10）
