椎动脉多层螺旋CT血管造影在后循环缺血诊断中的临床应用价值

摘要

Objective To investigate the clinical application value of multi-slice spiral CT angiography (CTA) in the diagnosis of posterior circulation ischemia (PCI). Methods The vertebral artery CTA examination was performed in 63 cases of patients with PCI admitted to our hospital, and the initial, walking, and vascular lumen stenosis of the vertebral artery were analyzed. Results 63 cases of PCI patients CTA examination in detection of vertebral artery abnormal 59 cases (93.7%), in which vascular slender 42 support, vascular and opening abnormality was found in 35 branches, 110 segments of artery stenosis, 9 segments of vertebral artery occlusion, vertebral bone hyperplasia of vascular compression 104 segments. Conclusion Vertebral artery CTA examination has important value in the diagnosis of PCI, and can provide an important basis for clinical treatment.%目的：探讨椎动脉多层螺旋CT血管造影（CTA）在后循环缺血（PCI）诊断中的临床应用价值。方法对我院确诊收治的63例PCI患者行椎动脉CTA检查，对椎动脉的起始、走行、血管腔狭窄及周围压迫情况进行分析。结果63例PCI患者CTA检查检出椎动脉异常者59例（93.7%），其中血管纤细42支，血管走行及开口异常35支，动脉狭窄110段，椎动脉闭塞9段，椎体骨质增生压迫血管104段。结论椎动脉CTA检查在PCI诊断中具有重要价值，能够为临床治疗提供重要依据。