[摘要]目的 探讨三维数字减影血管造影(3D DSA)在脑血管疾病诊断和治疗中的价值。方法 对60例疑有脑血管病的病人均在3D DSA系统的操作床上行普通DSA，然后行三维重建成像处理，做出正确的诊断后，再根据3D DSA图片数据处理结果，拟定治疗方案。结果 60例疑有脑血管病病人普通DSA检查阳性率为 90.0% ，3D DSA处理后阳性率为95.0%。共确诊57例，其中脑动脉瘤26例，脑动静脉畸形19例，颈动脉海绵窦瘘6例，烟雾病4例，血管狭窄2例。脑动脉瘤26例中行动脉瘤内电解可脱弹簧圈(EDC)栓塞治疗9例，外科手术治疗14例，未治疗3例。脑动静脉畸形19例中手术治疗11例，栓塞治疗5例，γ刀治疗1例，2例放弃治疗。颈动脉海绵窦瘘6例均行球囊栓塞治疗。血管狭窄2例中支架置入1例。烟雾病4例，伴动脉瘤1例行栓塞治疗，余3例内科治疗。结论 3D DSA与普通DSA比较，能够提高脑血管病检出率，对评价脑血管病的综合治疗有重要价值。

    [关键词] 数字减影血管造影术; 脑血管意外; 血管内治疗;显微外科手术

    3D DSA IN THE DIAGNOSIS AND TREATMENT OF CEREBROVASCULAR DISEASES

    LIU SHU-LAN， SONG ZHEN-WEI， GAO WEI， et al

    (Department of Radiology， Linyi People's Hospital， Linyi 276003， China)

    [ABSTRACT]ObjectiveTo evaluate the role of three-dimensional (3D) digital subtraction angiography (DSA) in the diag-nosis and treatment of cerebrovascular diseases. MethodsStandard DSA and 3D DSA were performed in 60 patients suspected to have cerebrovascular diseases. The schemes of treatment were worked out according to the results of 3D DSA. ResultsPositive of standard DSA and 3D DSA were 90.0% and 95.0% ，respectively. The diagnosis was confirmed in 57 cases: in which ......