CAJ | 학술논문

　　目的探讨64排螺旋CT血管造影对主动脉夹层的诊断价值进行探讨和分析。方法对2010年3月至2012年12月期间我院使用64排螺旋CT治疗的50例主动脉夹层患者临床资料进行回顾性分析总结。结果根据Debakay分类标准，在50例主动脉夹层患者中，Ⅰ型患者为15例，Ⅱ型患者为11例，Ⅲ型患者为24例。所有患者都可以清晰看到清晰破口、真假双腔以及低密度线样内膜瓣影，假腔直径最大为47mm，真腔直径最小为5mm，有21例患者可以看到在假腔内有附壁血栓形成。此外，在50例主动脉夹层患者中，有5例患者动脉夹层累及头臂干，4例患者累及左锁骨下动脉，6例患者累及腹腔干，5例患者累及肠系膜上动脉，14例患者累及髂总动脉及其分支。结论64排螺旋CT血管造影对主动脉夹层的评价具有较高的准确性，可作为诊断筛查疑似主动脉夹层的一种首选影像诊断方法。
　　목적탐토64배라선CT혈관조영대주동맥협층적진단개치진행탐토화분석。방법대2010년3월지2012년12월기간아원사용64배라선CT치료적50례주동맥협층환자림상자료진행회고성분석총결。결과근거Debakay분류표준，재50례주동맥협층환자중，Ⅰ형환자위15례，Ⅱ형환자위11례，Ⅲ형환자위24례。소유환자도가이청석간도청석파구、진가쌍강이급저밀도선양내막판영，가강직경최대위47mm，진강직경최소위5mm，유21례환자가이간도재가강내유부벽혈전형성。차외，재50례주동맥협층환자중，유5례환자동맥협층루급두비간，4례환자루급좌쇄골하동맥，6례환자루급복강간，5례환자루급장계막상동맥，14례환자루급가총동맥급기분지。결론64배라선CT혈관조영대주동맥협층적평개구유교고적준학성，가작위진단사사의사주동맥협층적일충수선영상진단방법。
Objective To investigate the value of 64 Multi-Slice Spiral CT angiography in the diagnosis of aortic dissection and analyze. Methods During the period from 2010 March to 2012 December in our hospital 64 row helical CT in treatment of 50 cases of aortic dissection in patients with clinical data were retrospectively analyzed and summarized. Results According to Debakay classification, 50 patients with aortic dissection, 15 cases of type I patients, patients with type II 11 cases, type III patients of 24 cases. All patients can clearly see clear break, true and false cavity and low density linear intimal flap, false lumen diameter is 47mm, the true lumen diameter minimum 5mm, 21 patients can see the mural thrombus in the false lumen. In addition, in 50 patients with aortic dissection, 5 patients with aortic dissection involving the brachiocephalic trunk, 4 cases involving the left subclavian artery, 6 cases involving the celiac trunk, 5 patients with superior mesenteric artery, 14 cases involving the common iliac artery and its branches. Conclusion Evaluation of aortic dissection 64 row helical CT angiography has high accuracy, a preferred imaging method can be used as a diagnostic screening suspected aortic dissection.