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后循环缺血性眩晕的影像学对照分析

王淮章 张蔚蔚 蒋莉莉 郭荣 石全

中国实用神经疾病杂志2017,Vol.20Issue(23):67-70,4.
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

王淮章 1张蔚蔚 1蒋莉莉 1郭荣 1石全1

作者信息

  • 1. 盐城市第一人民医院影像科,江苏 盐城 224001
  • 折叠

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)

中国实用神经疾病杂志

1673-5110

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