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口腔颌面部动静脉畸形的诊断和评估的三维 CT 血管造影。

Three-dimensional CT angiography for the diagnosis and assessment of arteriovenous malformations in the oral and maxillofacial region.

机构信息

Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China.

出版信息

J Craniomaxillofac Surg. 2010 Jan;38(1):32-7. doi: 10.1016/j.jcms.2009.10.021. Epub 2009 Nov 27.

DOI:10.1016/j.jcms.2009.10.021
PMID:19945292
Abstract

OBJECTIVE

The purpose of this study was to evaluate the diagnostic performance of three-dimensional computed tomography angiography (3D-CTA) for arteriovenous malformations (AVMs) in the oral and maxillofacial region.

MATERIALS AND METHODS

Sixty four-slice spiral CT angiography of oral or maxillofacial region was performed in 8 patients with surgically proven arteriovenous malformations. The morphologic features, size, location, boundary, and feeding and draining vessels of lesions were reviewed.

RESULTS

AVMs in 5 patients were located in the soft tissues and 3 were in the mandible. CTA of all cases showed tangles of disorganized vessels with well-defined borders. The feeding and draining vessels were enlarged and tortuous. Four patients had bone involvement.

CONCLUSION

Sixty four-slice spiral CTA can accurately demonstrate the morphological characteristics of AVMs.

摘要

目的

本研究旨在评估三维计算机断层血管造影(3D-CTA)在口腔颌面部动静脉畸形(AVM)中的诊断性能。

材料与方法

对 8 例经手术证实的口腔颌面部动静脉畸形患者进行 64 层螺旋 CT 血管造影。回顾病变的形态特征、大小、位置、边界以及供血和引流血管。

结果

5 例患者的 AVM 位于软组织中,3 例位于下颌骨中。所有病例的 CTA 均显示边界清晰的紊乱血管纠结。供血和引流血管扩张且迂曲。4 例患者有骨受累。

结论

64 层螺旋 CTA 能准确显示 AVM 的形态特征。

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