CAJ | 학술논문

目的探讨累及心血管系统的Behcet综合征影像特点及其诊断.方法搜集1995年7月至2007年12月临床诊断为Behcet综合征累及心血管系统患者11例的电子束CT(EBCT)或64层MSCT检查资料,回顾分析其cT影像特点.结果 11例Behcet综合征患者的CT影像表现为:累及主动脉瓣4例(其中2例同时累及二尖瓣),右冠状动脉假性动脉瘤2例(其中1例同时形成右腋动脉假性动脉瘤,3.5年后无诱因出现腹主动脉假性动脉瘤),左锁骨下动脉假性动脉瘤1例(伴腹主动脉下段闭塞),主动脉弓部真性动脉瘤及溃疡1例,主动脉弓部假性动脉瘤1例,主动脉夹层1例,肺动脉栓塞伴房间隔瘤1例.结论 CT作为Behcet综合征诊断及定期随访的检查手段,可明确心血管系统受累情况,根据其病变的影像特点,为选择临床治疗方法提供依据.
목적 탐토루급심혈관계통적Behcet종합정영상특점급기진단.방법 수집1995년7월지2007년12월림상진단위Behcet종합정루급심혈관계통환자11례적전자속CT(EBCT)혹64층MSCT검사자료,회고분석기cT영상특점.결과 11례Behcet종합정환자적CT영상표현위:루급주동맥판4례(기중2례동시루급이첨판),우관상동맥가성동맥류2례(기중1례동시형성우액동맥가성동맥류,3.5년후무유인출현복주동맥가성동맥류),좌쇄골하동맥가성동맥류1례(반복주동맥하단폐새),주동맥궁부진성동맥류급궤양1례,주동맥궁부가성동맥류1례,주동맥협층1례,폐동맥전새반방간격류1례.결론 CT작위Behcet종합정진단급정기수방적검사수단,가명학심혈관계통수루정황,근거기병변적영상특점,위선택림상치료방법제공의거.
Objective To evaluate the computed tomography (CT) characteristics of cardiovascular involvement in Beheet syndrome. Methods Eleven patients with clinically diagnosed Behcet syndrome were studied retrospectively from July 1995 to December 2007. Electron beam CT or 64-slice helical CT scanner was used and CT characteristics were reviewed. Results Eleven patients were diagnosed according to the criteria reported by the international study group for Behcet syndrome. Of them, 4 patients presented with aortic valve prolapse (2 patients with mitral valve prolapse), false aneurysm of right coronary artery was demonstrated in 2 patients, false aneurysm of left subclavian artery, aortic aneurysm and penetrating ulcers, aortic arch false aneurysm, aortic dissection, pulmonary embolism and interatrial scptum aneurysm in 1 case, respectively. Conclusion CT is a very useful method for the diagnosis and foUow-up of Behcet syndrome.