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[新生儿和婴儿巨颅症评估中的阳性脑室造影和颅骨计算机断层扫描(作者译)]

[Positive ventriculography and computer assisted tomography of the skull in the evaluation of megalocephaly in newborns and infants (author's transl)].

作者信息

Kellermann K, Heuser L, Bliesener J A

出版信息

Rontgenblatter. 1979 Sep;32(9):469-75.

PMID:314653
Abstract

To clarify indications and limits of computer assisted tomography and positive ventriculography the results of both methods were compared with each other retrospectively in 55 macrocephalic newborns and infants. It could be shown that positive ventriculography, even if combined with coronal views, was superseded by computer assisted tomography to only a certain extent. To complete the appropriate diagnosis preoperatively positive ventriculography was necessary most often in patients with paranatal disturbances who had undergone intensive care treatment. The non-invasive method of computer assisted tomography often yielded sufficient information on localisation, size, and nature of the underlying pathologic process. Both methods turned out to be complementary when topographical and functional interrelations of cranial cysts had to be demonstrated, especially structures of the midline and of the posterior fossa, which could not be visualized by computer assisted tomography alone.

摘要

为明确计算机断层扫描(CT)和脑室造影术的适应证及局限性,我们对55例巨头症新生儿和婴儿回顾性地比较了这两种检查方法的结果。结果表明,即使结合冠状位图像,脑室造影术也只是在一定程度上被CT所取代。对于产前有异常且接受过重症监护治疗的患者,术前往往需要进行脑室造影术以完善准确的诊断。CT这种非侵入性检查方法常常能提供有关潜在病理过程的定位、大小及性质的足够信息。当需要显示颅内囊肿的局部解剖和功能关系,特别是单独CT无法显示的中线及后颅窝结构时,这两种方法显示出互补性。

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