CAJ | 학술논문

目的：评价多层螺旋CT血管成像（MSCTA）在急性肠系膜缺血性疾病中的诊断价值。方法：搜集2010年1月至2013年1月临床拟诊急性肠系膜缺血性疾病患者30例，分别行MSCTA检查，动脉期扫描延迟时间采用手动触发扫描，动脉期扫描结束后立即进行静脉期扫描，对比剂60 mL，注射速率4 mL/s。将获得薄层数据传至AW4.4工作站，分别进行多平面重组、曲面重组、容积再现和最大密度投影。结果：30例急性肠系膜缺血性疾病均经临床证实，其中20例行数字减影血管造影证实，MSCTA检查结果与DSA结果一致；肠系膜上动脉栓塞14例，合并动脉夹层2例，肠系膜下动脉栓塞6例，肠系膜上静脉8例，肠系膜下静脉2例。结论：MSCTA检查安全、快速、准确及价廉，是诊断急性肠系膜缺血性疾病的首选检查方法，对临床早诊断和早治疗有重要的指导价值。
목적：평개다층라선CT혈관성상（MSCTA）재급성장계막결혈성질병중적진단개치。방법：수집2010년1월지2013년1월림상의진급성장계막결혈성질병환자30례，분별행MSCTA검사，동맥기소묘연지시간채용수동촉발소묘，동맥기소묘결속후립즉진행정맥기소묘，대비제60 mL，주사속솔4 mL/s。장획득박층수거전지AW4.4공작참，분별진행다평면중조、곡면중조、용적재현화최대밀도투영。결과：30례급성장계막결혈성질병균경림상증실，기중20례행수자감영혈관조영증실，MSCTA검사결과여DSA결과일치；장계막상동맥전새14례，합병동맥협층2례，장계막하동맥전새6례，장계막상정맥8례，장계막하정맥2례。결론：MSCTA검사안전、쾌속、준학급개렴，시진단급성장계막결혈성질병적수선검사방법，대림상조진단화조치료유중요적지도개치。
Objective:to assess the diagnostic value of MSCT angiography in acute mesenteric ischemic disease. Method:collected 30 clinical suspecting cases of acute mesenteric ischemic disease which examined with MSCTA from January 2010 to January 2013, attain arterial scanning time with manually trigger scanning, then venous phase scanning with 60 mL contrast agent and injection rate of 4 mL/s. Then transmit the thin-layer data to AW4.4 workstation to conduct MPR, CPR, VR and MIP. Results:30 cases of acute mesenteric ischemic disease were all confirmed, 20 cases diagnosed with DSA were confirmed, showing the same result with those diagnosed with MSCTA; Among them, 14 cases were superior mesenteric artery embolism, 2 case were merged with artery dissection, 6 cases were inferior mesenteric artery embolism, 8 cases were superior mesenteric vein, 2 cases were inferior mesenteric vein. Conclusion:MSCTA is safe, fast, precise, economical and preferred diagnostic method for acute mesenteric ischemic disease;meanwhile it has important guiding value for clinical early diagnosis and early treatment.