CAJ | 학술논문

目的：探讨血管性病变导致急性腹痛的64层螺旋C T诊断价值。方法分析38例血管源性急腹症平扫及增强CT ，分析CT表现。结果内脏动脉瘤合并出血6例；腹主动脉及右侧髂总动脉瘤合并出血3例；腹主动脉分支夹层7例；肠系膜上动静脉扭转3例；肠系膜上动静脉栓塞及血栓形成14例；肾动脉栓塞5例。结论通过64层螺旋C T平扫及增强扫描，腹部血管性病变能清晰显示其病因、病变范围及其继发改变，达到诊断明确，所以腹痛疑诊为血管性病变时，CTA应作为影像学的首选检查方法。
목적：탐토혈관성병변도치급성복통적64층라선C T진단개치。방법분석38례혈관원성급복증평소급증강CT ，분석CT표현。결과내장동맥류합병출혈6례；복주동맥급우측가총동맥류합병출혈3례；복주동맥분지협층7례；장계막상동정맥뉴전3례；장계막상동정맥전새급혈전형성14례；신동맥전새5례。결론통과64층라선C T평소급증강소묘，복부혈관성병변능청석현시기병인、병변범위급기계발개변，체도진단명학，소이복통의진위혈관성병변시，CTA응작위영상학적수선검사방법。
Objective To investigate the diagnostic value of 64 CT in vascular lesions of acute abdominal pain as the main symptom .Methods 38 cases of vasogenic abdomen CT scan were retrospectively analysed ,including plain and enhanced CT performance .Results Six cases were visceral aneurysm hemorrhage ,three cases presented with abdominal aorta and right common iliac artery aneurysm hemorrhage ,seven cases with aortic dissection branch ,three cases with the superior mesenteric vascular reversed ,14 case with arterial and venous thrombosis and mesenteric thrombosis formation ,and five cases with renal artery embolization .Conclusion After the multi-detector CT plain and enhanced scanning ,abdominal vascular lesions can be clearly shown its causes ,extent of leisions and secondary changes ,thereby reaching a clear diagno-sis .Hence ,CTA should be the preferred method of imaging examination when suspicious of abdominal vascular lesions .