醫(yī)學(xué)文獻(xiàn)翻譯(中英對(duì)照)

1、Current Current usage usage of of three-dimensional three-dimensional computed computed tomography tomography angiography angiography for for the the diagnosis diagnosis and and treatment treatment of of rupt

2、ured ruptured cerebral cerebral aneurysms aneurysmsKenichi Amagasaki MD, Nobuyasu Takeuchi MD, Takashi Sato MD, Toshiyuki Kakizawa MD, Tsuneo Shimizu MD Kanto Neurosurgical Hospital, Kumagaya, Saitama, JapanSummary Our p

3、revious study suggested that 3D-CT angiography could replace digital subtraction (DS) angiography in most cases of ruptured cerebral aneurysms, especially in the anterior circulation. This study reviewed o

4、ur further experience. One hundred and fifty patients with ruptured cerebral aneurysms were treated between November 1998 and March 2002. Only 3D-CT angiography was used for the preoperative work-up study in p

5、atients with anterior circulation aneurysms, unless the attending neurosurgeons agreed that DS angiography was required. Both 3D-CT angiography and DS angiography were performed in patients with posterior circulation

6、 aneurysms, except for recent cases that were possibly treated with 3D-CT angiography alone. One hundred sixteen (84%) of 138 patients with ruptured anterior circulation aneurysms underwent surgical treatment, bu

7、t additional DS angiography was required in 22 cases (16%). suggested that 3D-CT angiography could replace DS angiography in most patients with ruptured cerebral aneurysms in the anterior circulation.1 This study reviewe

8、d our experience of treating ruptured cerebral aneurysms in the anterior and posterior circulations based on 3D-CT angiography in 150 consecutive patients to assess the current usage of 3D-CT angiography.METHODS AND MATE

9、RIALPatient populationWe treated 150 patients, 60 men and 90 women aged from 23 to 80 years (mean 57.5 years), with ruptured cerebral aneurysm identified by 3D-CT angiography between November 1998 and March 2002.

10、Managementof casesThe presence of nontraumatic subarachnoid haemorrhage (SAH) was confirmed by CT or lumbar puncture findings of xanthochromic cerebrospinal fluid. 3D-CT angiography was performed routinely in all patient

11、s. DS angiography was performed in patients with anterior circulation aneurysms only if additional information was considered necessary following a consensus interpretation of the initial CT and 3D-CT angiography