心血管病防治知识(下半月)
心血管病防治知識(下半月)
심혈관병방치지식(하반월)
XINXUEGUANBING FANGZHI ZHISHI
2014年
7期
92-94
,共3页
主动脉夹层%CTA诊断%介入治疗
主動脈夾層%CTA診斷%介入治療
주동맥협층%CTA진단%개입치료
Aortic dissection%CTA diagnosis%Interventional treatment
目的:对主动脉夹层CTA的诊断及介入治疗进行探讨与分析。方法本研究共纳入研究对象60例,均为2012年6月到2014年1月我院收治的主动脉夹层患者,所有患者均经DSA抑或MR T1-FS确诊。对患者的内膜瓣、管壁增厚、夹层动脉瘤和双腔征等影像学征象进行回顾性分析。结果60例患者中出现主动脉夹层病变的70处,其中30例前循环,40例后循环。在70处主动脉夹层病变当中,有27处内膜瓣,7处双腔征,36处血管狭窄。相比DSA诊断,通过CTA可以把23处内膜瓣显示出来,占85.2%(23/27),可把5处双腔征显示出来,占71.4%(5/7),可把34处血管狭窄显示出来,占94.4%(34/36)。而在显示主动脉夹层脉瘤和血管闭塞上差异不显著。CTA比MR T1-FS更容易把血管内膜增厚给显示出来。结论通过CTA诊断主动脉夹层,能够把多种影像学征象给清晰显示出来,包括管壁和血管腔在内的主动脉夹层,是一种有效的影像学方式,对临床上运用适当的介入治疗有着重要的指导作用。
目的:對主動脈夾層CTA的診斷及介入治療進行探討與分析。方法本研究共納入研究對象60例,均為2012年6月到2014年1月我院收治的主動脈夾層患者,所有患者均經DSA抑或MR T1-FS確診。對患者的內膜瓣、管壁增厚、夾層動脈瘤和雙腔徵等影像學徵象進行迴顧性分析。結果60例患者中齣現主動脈夾層病變的70處,其中30例前循環,40例後循環。在70處主動脈夾層病變噹中,有27處內膜瓣,7處雙腔徵,36處血管狹窄。相比DSA診斷,通過CTA可以把23處內膜瓣顯示齣來,佔85.2%(23/27),可把5處雙腔徵顯示齣來,佔71.4%(5/7),可把34處血管狹窄顯示齣來,佔94.4%(34/36)。而在顯示主動脈夾層脈瘤和血管閉塞上差異不顯著。CTA比MR T1-FS更容易把血管內膜增厚給顯示齣來。結論通過CTA診斷主動脈夾層,能夠把多種影像學徵象給清晰顯示齣來,包括管壁和血管腔在內的主動脈夾層,是一種有效的影像學方式,對臨床上運用適噹的介入治療有著重要的指導作用。
목적:대주동맥협층CTA적진단급개입치료진행탐토여분석。방법본연구공납입연구대상60례,균위2012년6월도2014년1월아원수치적주동맥협층환자,소유환자균경DSA억혹MR T1-FS학진。대환자적내막판、관벽증후、협층동맥류화쌍강정등영상학정상진행회고성분석。결과60례환자중출현주동맥협층병변적70처,기중30례전순배,40례후순배。재70처주동맥협층병변당중,유27처내막판,7처쌍강정,36처혈관협착。상비DSA진단,통과CTA가이파23처내막판현시출래,점85.2%(23/27),가파5처쌍강정현시출래,점71.4%(5/7),가파34처혈관협착현시출래,점94.4%(34/36)。이재현시주동맥협층맥류화혈관폐새상차이불현저。CTA비MR T1-FS경용역파혈관내막증후급현시출래。결론통과CTA진단주동맥협층,능구파다충영상학정상급청석현시출래,포괄관벽화혈관강재내적주동맥협층,시일충유효적영상학방식,대림상상운용괄당적개입치료유착중요적지도작용。
Objective To discuss and analyze computed tomography angiography (CTA) in the diagnosis and interventional treatment of aortic dissection. Methods Sixty patients with aortic dissection admitted to our hospital from June 2012 to January 2014 were enrolled in this study. All cases were confirmed by digital subtraction angiography (DSA) or MR T1-FS. The imaging findings of intimal flap, wall thickening, dissecting aneurysm, and double-lumen sign of the patients were analyzed retrospectively. Results Among 70 aortic dissection lesions in 60 patients, 30 were anterior circulation ones, and 40 were posterior circulation ones;27 cases had intimal flap, 7 had double-lumen sign, and 36 had vascular stenosis. Compared with DSA, CTA showed 23 cases with intimal flap, accounting for 85.2% (23/27), 5 cases with double-lumen sign, accounting for 71.4% (5/7), and 34 cases with vascular stenosis, accounting for 94.4%(34/36). The two examinations showed no significant differences in showing aortic dissection and vessel occlusion. Compared with MR T1-FS, CTA showed intimal thickening more easily. Conclusion For the diagnosis of aortic dissection, CTA can clearly show various imaging signs including aortic dissection in the vessel wall and lumen. It is an effective imaging method which can provide guidance for clinical interventional treatment.