颈动脉性TIA的治疗和MSCTA造影诊断研究

摘要

Objective Explore the treatment of carotid TIA and application of multi-slice spiral CT(Multislice spiral CT MSCT)Before the diagnosis of carotid artery in the treatment of sex, transient ischemic attack (transient ischemic attacks, TIA) clinical value. Methods Retrospective analysis of 20 cases of TIA treatment of carotid artery and multi-slice spiral CT angiography (MSCTA) test results, After treatment with surgery and pathology findings. Results Most of the carotid artery of the TIA-line check MSCTA characteristic imaging changes, 20 patients with MSCT-positive rate (sensitivity) was 80.0%(16/20), Most transient ischemic attack patients with carotid artery stenosis. Conclusion Of the carotid artery after the onset of TIA patients MSCTA check, you can discover the existence of carotid artery stenosis and the degree of stenosis, the clinical program development is very important.%　　目的探讨颈动脉性TIA的治疗和应用多排螺旋CT(Multislice spiral CT ,MSCT)在治疗前诊断颈动脉性、短暂性脑缺血发作(transient ischemic attacks,TIA)的临床价值.方法回顾性分析20例颈动脉性TIA的治疗和多排螺旋CT血管造影(MSCTA)检查结果,并与手术治疗后的病理诊断结果对照.结果大多数颈动脉性TIA行MSCTA检查有特征性影像学改变,20例患者MSCT检查阳性率(敏感性)为80.0%(16/20),大部分短暂性脑缺血发作患者存在颈动脉狭窄.结论对颈动脉性TIA患者发病后进行MSCTA检查,可以及时发现颈动脉是否存在狭窄及狭窄的程度,对临床治疗方案的制订十分重要.