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磁共振血管造影与数字减影血管造影在颅内动脉瘤术后检查中的价值比较

周明利 冯骏 屈天荣

西安交通大学学报(医学版)2013,Vol.34Issue(1):101-105,5.
西安交通大学学报(医学版)2013,Vol.34Issue(1):101-105,5.

磁共振血管造影与数字减影血管造影在颅内动脉瘤术后检查中的价值比较

Comparison of MRA and DSA in examination after intracranial aneurysm surgery

周明利 1冯骏 2屈天荣1

作者信息

  • 1. 西安交通大学医学院第一附属医院心血管科,陕西西安710061
  • 2. 西安交通大学医学院第一附属医院脑血管科,陕西西安710061
  • 折叠

摘要

Abstract

Objective To compare the clinical value of digital subtraction angiography (DSA) and magnetic resonance angiography (MRA) in grading intracranial aneurysm postoperation. Methods The study recruitcd 72 patients after surgery for intracranial aneurysm. The grading of intracranial aneurysm postoperation and follow-up for three months was performed by DSA and MRA. Results Grading by DSA and TOF-MRA of intracranial aneurysm after follow-up for three months did not differ significantly ( χ2 =0. 95, P>0.05). The sensitivity of Class I intracranial aneurysm postoperation detected by MRA and DSA was 94. 3% and 97. 1% while the specificity was 91.9% and 89.2%, respectively, without significant difference (P>0.05). The grading of intracranial aneurysm postoperation and follow-up increased with the incidence of high blood pressure ( χ2=7.82, P<0.05), showing a positive correlation (r = 0. 47, P<0. 05). MRA and DSA did not differ significantly in detecting the average number of cerebrovascular branches in patients with intracranial aneurysm (P>0.05). Conclusion MRA and DSA can be used in follow-up of intracranial aneurysm surgery. The former is a non-invasive means of examination, thus deserving wide clinical application.

关键词

颅内动脉瘤/磁共振血管造影/数字减影血管造影

Key words

intracranial aneurysm/ magnetic resonance angiography (MRA)/ digital subtraction angiography (DSA)

分类

医药卫生

引用本文复制引用

周明利,冯骏,屈天荣..磁共振血管造影与数字减影血管造影在颅内动脉瘤术后检查中的价值比较[J].西安交通大学学报(医学版),2013,34(1):101-105,5.

基金项目

陕西省科技攻关项目(No.2006K13-G7) (No.2006K13-G7)

西安交通大学学报(医学版)

OA北大核心CSCDCSTPCD

1671-8259

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