CTA在后交通動(dòng)脈瘤診治中的應(yīng)用價(jià)值.pdf

1、天津醫(yī)科大學(xué)碩士學(xué)位論文CTA在后交通動(dòng)脈瘤診治中的應(yīng)用價(jià)值姓名：羅斌申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：外科學(xué)神經(jīng)外科學(xué)指導(dǎo)教師：黃楹20100501天津醫(yī)科大學(xué)碩士學(xué)位論文AbstractObjectiveTodiscllSstheclinicalvalueof3DCTAindiagnoseandtreatmentofposteriorcommunicatinganeurysmsMethodsCollecttheCTAinformationof

2、50casesposteriorcommunicatinganeurysmswhichfireconfirmedbyDSAThenanalysethe3DCTAimage57aneurysmsarefounded，7nonresponsibledidnottreatedbyoperationwhicharenotincludeinthismsearchMeasurethedistancebetweenthecenterpointofan

3、eurysmalneckandthenearestpointofipsilateralanteriorandposteriorelinoidandtheanglebetweenthemajoraxisofaneurysmandtheaneurysmalverticalprojectionlineonhorizontalplane，coronalplaneandsagittalplaneAll50cases(50aneurysms)tha

4、ttreatedbyoperationaredivideintotwogroupsTheoperationsof17casesingroupAareguidedbythepreoperativeimagingandmeasurementdataundertheCTAAnother33operationsingroupBarenotguidedbytheCTAdates，butonlytheimaginginformationofCTAT

5、hentwogroupsareallusetransfrontallateralapproachRecordtheaneurysmaldirectionandruptureproportionofall50casesduringoperationThentaketheCTAreviewcomparethepostoperativerateofaneurysmneckremnantResultsAll50directionsofposte

6、riorcommunicatinganeurysmsareconfirrnedbytheintraoperativemeasurementTherateis9400％(47／50)；Thedistancebetweenthecenterofaneurysmalneckandthenearestpointofipsilateralanteriorandposteriorclinoidisconcentratedin5一9mm(8782％)

7、and4“7mm(9474％)；47c鼬es(9400％)posteriorcommunicatingarteryaneurysmpointingtoastern37cases(7400％)pointinginferior；TheremnantofintheresultofCTAreviewwerenosignificantdifferentbetweengroupAandB(P005)；Therewerealsonosignifica

8、ntdifferentbetweengroupAandBaboutintraoperativerupturerate(PO05)Conclusions3D—CTAcallclearlyshowthelocation，directionandtherelationshipbetweenaneurysmandadjacentanatomicalstructuresItCanmakethenecessarymeasurementonCTAre