中国实用神经疾病杂志2017,Vol.20Issue(23):67-70,4.DOI:10.3969/j.issn.1673-5110.2017.23.017
后循环缺血性眩晕的影像学对照分析
Comparative analysis of CT and MRA in the diagnosis of posterior circulation ischemic vertigo
摘要
Abstract
Objective To investigate the diagnostic value of CT and magnetic resonance angiography (MRA) in patients with posterior circulation ischemic vertigo .Methods Forty patients with posterior circulation ischemic vertigo from February 2016 to December 2016 were selected in this study .All patients received the CT ,MRA and digital subtraction angiography (DSA) ex-amination .Based on the DSA examination results (gold standard) ,we evaluated the diagnostic value of CT and magnetic resonance angiography (MRA) in patients with posterior circulation ischemic vertigo .Results CT found that cerebral infarction in patients with a total of 11 cases;the detection rate was 27.50% .MRA examination revealed 44 type A ,8 type B ,9 type C ,9 type D and 14 normal type of bilateral vertebral arteries ;24 type A ,4 type B ,6 type C and 6 normal basilar arteries ;The sensitivity of MRA diag-nosis of pciv was 93.27% ,the specificity is 81.25% ,the miss rate was 6.73% ,the misdiagnosis rate was 18.75% ;the sensitivity of CT diagnosis of pciv was 27.78% ,the specificity was 75% ,the miss rate was 72.22% ,the misdiagnosis rate was 25% .Conclu-sion MRA examination has a high diagnostic value for posterior circulation .关键词
CT/磁共振动脉成像/后循环缺血/眩晕/数字减影血管造影(DSA)Key words
CT/Magnetic resonance angiography/Posterior circulation ischemia/Vertigo/DSA分类
医药卫生引用本文复制引用
王淮章,张蔚蔚,蒋莉莉,郭荣,石全..后循环缺血性眩晕的影像学对照分析[J].中国实用神经疾病杂志,2017,20(23):67-70,4.基金项目
盐成市医学科技发展计划项目(编号:YK2014009) (编号:YK2014009)