CAJ | 학술논문

目的探讨64层螺旋CT血管造影在胸心部血管性病变所致急重症胸痛诊断中的价值. 方法回顾性分析34例行64层螺旋CT血管造影检查并经证实的由血管性病变引起的急重症胸痛患者,利用多平面重建、最大密度投影、曲面重建以及容积再现技术进行图像后处理并分析其影像学特点. 结果 CT血管造影显示急性主动脉夹层13例,急性肺动脉栓塞9例,急性冠状动脉综合征12例,所有病例最终经过临床证实. 结论 64层螺旋CT血管造影在急重症胸痛诊断中有重要的实际应用价值,可以作为急重症胸痛的重要检查手段.
목적 탐토64층라선CT혈관조영재흉심부혈관성병변소치급중증흉통진단중적개치. 방법 회고성분석34례행64층라선CT혈관조영검사병경증실적유혈관성병변인기적급중증흉통환자,이용다평면중건、최대밀도투영、곡면중건이급용적재현기술진행도상후처리병분석기영상학특점. 결과 CT혈관조영현시급성주동맥협층13례,급성폐동맥전새9례,급성관상동맥종합정12례,소유병례최종경과림상증실. 결론 64층라선CT혈관조영재급중증흉통진단중유중요적실제응용개치,가이작위급중증흉통적중요검사수단.
Objective To evaluate the value of 64-slice spiral computed tomography angiography(CTA) in diagnosis of acute severe chest pain caused by vascular diseases.Methods 34 cases with acute severe chest pain caused by vascular lesions confirmed clinically underwent CTA examinations.The images were processed with multi-planar reconstruction,maximal intensity projection,curved planar reconstruction and volume rendering,then the imaging features were analysed.Results CTA showed acute aortic dissection in 13 cases,acute pulmonary embolism in 9 cases and acute coronary syndrome in 12 cases,all cases were confirmed by clinic.Conclusion 64-slice CTA has very important practical value in diagnosis of acute severe chest pain.