[1]胡 鑫,蒲先智,陈 林,等.三维DSA彩色融合技术在大脑中动脉远端血管介入术中导航定位的应用[J].介入放射学杂志,2022,31(06):538-542.
 HU Xin,PU Xianzhi,CHEN Lin,et al.The application of 3D-DSA color fusion technique in interventional intraoperative navigation and positioning of the distal vessels of middle cerebral artery[J].journal interventional radiology,2022,31(06):538-542.
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三维DSA彩色融合技术在大脑中动脉远端血管介入术中导航定位的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年06
页码:
538-542
栏目:
神经介入
出版日期:
2022-07-31

文章信息/Info

Title:
The application of 3D-DSA color fusion technique in interventional intraoperative navigation and positioning of the distal vessels of middle cerebral artery
作者:
胡 鑫 蒲先智 陈 林 彭汤明 刘勇贵 孙晓磊
Author(s):
HU Xin PU Xianzhi CHEN Lin PENG Tangming LIU Yonggui SUN Xiaolei.
Department of Interventional Medicine, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province 646000, China
关键词:
【关键词】 三维数字减影血管造影影像融合大脑中动脉介入手术导航
文献标志码:
A
摘要:
【摘要】 目的 评价三维DSA彩色融合技术在大脑中动脉远端血管介入术中导航定位的价值。 方法 选取2018年6月至2020年12月在西南医科大学附属医院接受大脑中动脉远端动静脉畸形和动脉瘤介入治疗患者36例。随机将患者分为实验组(n=17,术中采用三维DSA彩色融合技术辅助导航)和对照组(n=19,采用二维路径图导航)。观察两组手术时间、术中微导管超选病变血管导引时间、X线透视时间、对比剂用量、辐射剂量[空气比释动能(AK)、剂量-面积乘积(DAP)]、手术相关并发症等情况。结果 实验组、对照组间手术时间[(95.80±12.50) min比(103.70±9.60) min]、微导管导引时间[(5.82±1.94) min比(8.47±2.48) min]、X线透视时间[(35.76±4.72) s比(51.16±5.80) s]、对比剂用量[(27.06±2.77) mL比(33.05±5.46) mL]、辐射剂量[AK:(88.48±21.67) mGy比(234.99±40.60) mGy,DAP:(7.11±1.07) Gyc/m2比(13.40±3.34) Gyc/m2,]差异有统计学意义(均P<0.05),对照组有2例术后2 d发生对比剂肾病。实验组术中导引难度较对照组明显降低(P<0.01)。 结论 三维DSA彩色融合技术应用于大脑中动脉远端血管超选导航定位,具有可靠性高,术中导引时间短、辐射剂量低、对比剂用量低,手术效率高等优势,具有较高的辅助价值。

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备注/Memo

备注/Memo:
(收稿日期:2021- 09- 03)
(本文编辑:边 佶)
更新日期/Last Update: 2022-07-27