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对45例拟诊为推动脉型颈椎病患者进行了推动脉造影,其中30例行普通血管造影,15例行动脉法数字减影血管造影。对血管狭窄部位,采用计算机自动分析几何或密度法测定,头颈转位于血管同侧和对侧动态观察病变程度。结合临床发病、转颈试验和术中所见进行分析和讨论,提出动态观察血管病变和计算机自动分析狭窄程度在椎动脉型颈椎病的病因探讨和诊断治疗中具有重要的临床意义。
Forty-five patients who underwent diagnosis of cervical spondylotic herniations were retrospectively analyzed. Thirty patients underwent angiography and 15 underwent digital subtraction angiography. For vascular stenosis, using computer automated analysis of geometric or density determination, head and neck transposition in the ipsilateral and contralateral blood vessels dynamically observed degree of lesion. Combined with clinical onset, neck rotation test and intraoperative findings and analysis, it is proposed that dynamic observation of vascular lesions and automatic computerized analysis of stenosis have important clinical significance in the etiological exploration and diagnosis and treatment of cervical spondylotic vertebral artery disease.