|本期目录/Table of Contents|

[1]黄嘉本,李正克,李永康.磁共振在脑出血患者血管畸形诊断中的应用[J].慢性病学杂志,2014,(06):427-430.
　HUANG Jia-ben*,LI Zheng-ke,LI Yong-kang.Diagnosis application of MRI in the vascular malformation with cerebral hemorrhage patients[J].,2014,(06):427-430.
点击复制

磁共振在脑出血患者血管畸形诊断中的应用(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2014年06期
页码:
427-430
栏目:
论著
出版日期:
2014-07-30

文章信息/Info

Title:
Diagnosis application of MRI in the vascular malformation with cerebral hemorrhage patients
作者:
黄嘉本1;  李正克2;  李永康3
1.隆林县人民医院医学影像科，广西百色533400；2.百色市人民医院神经外科，广西百色533000； 3.百色市妇幼保健院医学影像科，广西百色533000
Author(s):
HUANG Jia-ben*;  LI Zheng-ke;  LI Yong-kang
*Medical Imaging Department, People’s Hospital of Longlin City, Baise，Guangxi 533400, China Corresponding author:LI Yong-kang，E－mail:785802225@qq.com
关键词:
动静脉畸形; 数字减影血管造影; 脑内出血; 核磁共振造影
Keywords:
Arteriovenous malformation;  Digital subtraction angiography;  Intracerebral hemorrhage;  Magnetic resonance angiography
分类号:
R743.34
DOI:
-
摘要:
目的用磁共振方法检测自发性脑血管出血患者是否存在隐匿性血管畸形，以探讨该方法在临床诊断 中的作用。方法研究对象为百色市人民医院神经外科收治的亚急性脑出血患者151 例， 均用磁共振 （MRI） /磁共振造影（MRA） 和数字减影血管造影（DSA） 对亚急性期血管结构进行检查。对其敏感性、 特异性以及一致性进行评估。计算MRI/MRA 的阳性预测值（PPV） 和阴性预测值（NPV）。结果在 151 例有出血的患者中有70 例（46.36%） 有血管病变。有血管异常的患者较年轻（33±15） 岁，有高血压 史患者少（5.88%），病灶更趋向于内血管出血（22.06%）。在脑动脉畸形和硬脑膜动静脉瘘的患者，MRI/ MRA 的PPV 为0.98，NPV 为1.00。结论MRI/MRA 可用于亚急性期患者结构性血管畸形的检测，该方 法可用于疾病的筛查。
Abstract:
Objective To observe the occult vascular malformation in patients with spontaneous intracerebral hemorrhage. Methods A total of 151 cases with subacute cerebral hemorrhage in the department of neurosurgery were examined for vascular malformation in the subacute phase structure by magnetic resonance imaging (MRI)/magnetic resonan ceangiography (MRA) and digital subtraction angiogra phy (DSA). Their sensitivity, specificity and consistency were evaluated. The positive predictive values (PPV) and the negative predictive value (NPV)of MRI/MRA were calculated. Results In bleeding patients, there were 70 patients(46.36% ) with vascular disease. Vascular malformation patients tended to be younger (33 ± 15 years), there was less in patients with a history of hypertension (5.88% ), lesions tended to be vascular hemorrhage (22.06% ). In cerebral arteries deformity and duralarteriovenous fistula patients, PPV of MRI/MRA was 0.98, NPV was 1.00. Conclusions MRI/MRA can detect most structural vascular malformation in subacute period patients, therefore it should be used in disease screening.

参考文献/References:

[1] Benatru I, Rouaud O, Durier J, et al. Stable stroke incidence rates but improvedcase- fatality in Dijon, France, from 1985 to 2004 ［J］．Stroke, 2006,37(7):1674-1679.
[2］ Carrera E, Maeder- Ingvar M, Rossetti AO, et al. Trends in risk factors, patterns and causes in hospitalized strokes over 25 years: The Lausanne Stroke Registry ［J］． Cerebrovasc Dis, 2007,24(1):97-103.
[3］ Khan FY, YasinM, Abu- KhattabM, et al. Stroke in Qatar: a first prospectivehospital- based study of acute stroke ［J］． J Stroke Cerebrovasc Dis, 2008,17(2):69-78.
[4］ Lavados PM, Sacks C, Prina L, et al. Incidence, 30-day casefatality rate, and prognosis of stroke in Iquique, Chile: a 2- year community- based prospective study (PISCIS project) ［J］．Lancet, 2005,365(9478):2206-2215.
[5］ Liu X, Xu G, Wu W, et al. Subtypes and one-year survival of first- ever stroke in Chinese patients: the Nanjing stroke regis? try ［J］．Cerebrovasc Dis, 2006,22(2-3):130-136.
[6］ Minelli C, Fen LF, Minelli DP. Stroke incidence, prognosis, 30-day, and 1-year case fatality rates in Matao, Brazil: a pop? ulation- based prospective study ［J］． Stroke, 2007,38(11): 2906-2911.
[7］ Burger IM, Murphy KJ, Jordan LC, et al. Safety of cerebral digital subtraction angiography in children: complication rat analysis in 241 consecutive diagnostic angiograms ［J］ ． Stroke, 2006,37(10):2535-2539.
[8］ Dawkins AA, Evans AL, Wattam J, et al. Complications of cerebral angiography:a prospective analysis of 2,924 consecu? tive procedures ［J］．Neuroradiology, 2007,49(9):753-759.
[9］ Yun TJ, Na DG, Kwon BJ, et al. A T1 hyperintense perile? sional signal aids in the differentiation of a cavernous angioma from other hemorrhagic masses ［J］．AJNR Am J Neuroradi? ol, 2008,29(3):494-500.
[10］ Park J, Hwang YH, Baik SK, et al. Angiographic examina? tion of spontaneous putaminal hemorrhage ［J］． Cerebrovasc Dis, 2007,24(5):434-438.
[11］ Papadias A, Taha A, Sgouros S, et al. Incidence of vascular malformations in spontaneous intracerebral hemorrhage in chil? dren ［J］．Childs New Syst, 2007,23(8):881-886.
[12］ Flint AC, Roebken A, Singh V. Primary intraventricular hem ? orrhage: yield of diagnostic angiography and clinical outcome ［J］． Neurocrit Care, 2008,8(3):330-336.

备注/Memo

备注/Memo:
基金项目：广西壮族自治区卫生厅自筹经费科研课题 （Z2011091） 作者简介：黄嘉本，本科，主治医师，主要从事神经系 统CT 诊断研究工作 通信作者：李永康，E-mail: 785802225@qq.com
更新日期/Last Update: 2014-07-30