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本文报告自1986年6月至1987年1月,163例(202例次)动脉注射数字减影血管造影(IADSA),其中各种选择性导管技术109例次,治疗性栓塞31例次,其他48例次。病种包括脑血管病69例,颅内肿瘤54例,脊柱脊髓病变4例,未见异常36例。并就 IADSA 的特点、IADSA 与传统造影法的比较、操作要点、并发症等进行讨论。总结 IADSA 的优点:(1)造影时间短;(2)造影剂量小、浓度低;(3)影像清晰并可处理;(4)X 线胶片节约;(5)对介入神经放射学的栓塞术特别有助。施以神经安定镇痛麻醉,可获得良好的影像,减少造影反应。
This article reports 163 consecutive arterial injections of digital subtraction angiography (IADSA) from June 1986 to January 1987, 109 of them with various selective catheters, 31 with therapeutic embolization, and others 48 cases. 69 cases of cerebrovascular disease, 54 cases of intracranial tumors, spinal cord lesions in 4 cases, no abnormalities in 36 cases. The characteristics of IADSA, the comparison between IADSA and traditional angiography, the main points of operation and complications were discussed. Summary of advantages of IADSA: (1) short contrast time; (2) small contrast dose, low concentration; (3) clear and manageable images; (4) radiographic X-ray film savings; Particularly helpful. Apply neurosensory analgesia anesthesia, get a good image, reduce the contrast reaction.