CAJ | 학술논문

目的：探讨16层CT血管造影(16SCTA)对主动脉壁内血肿(AIH)的诊断价值和技术优势。方法对36例AIH患者行16SCTA检查,采用容积再现(VR)、多平面重组(MPR)、曲面重组(CPR)及最大密度投影(MIP)重组图像,明确血肿的部位和范围。结果36例AIH中Stanford A型3例,Stanford B型33例。合并穿透性动脉粥样硬化性溃疡(PAU)17例,占47.2%。合并胸腔积液12例,心包积液3例。结论16SCTA成像技术作为一种无创性的血管成像方法,具有安全、可靠和独特的优越性,能清晰显示病变特征和累及范围,是诊断AIH的首选检查方法。
목적：탐토16층CT혈관조영(16SCTA)대주동맥벽내혈종(AIH)적진단개치화기술우세。방법대36례AIH환자행16SCTA검사,채용용적재현(VR)、다평면중조(MPR)、곡면중조(CPR)급최대밀도투영(MIP)중조도상,명학혈종적부위화범위。결과36례AIH중Stanford A형3례,Stanford B형33례。합병천투성동맥죽양경화성궤양(PAU)17례,점47.2%。합병흉강적액12례,심포적액3례。결론16SCTA성상기술작위일충무창성적혈관성상방법,구유안전、가고화독특적우월성,능청석현시병변특정화루급범위,시진단AIH적수선검사방법。
Objective To investigate the 16-slice computed tomographic angiography (16SCTA) in the diagnosis value of aortic intramural hematoma (AIH) and technical advantage. Methods In 36 patients with aortic AIH were examined by 16SCTA.Images were reconstructed by volume rendering(VR),multiplanar reconstruction (MPR),curved planar reformation (CPR) and maximum intensity projection (MIP).The location and extent of all cases were showed clearly. Results In 36 patients with AIH,3 patients was Stanford type A,33 patients were Stanford type B.Combined with penetrating atherosclerotic ulcer (PAU) 17 cases, accounting for 47.2%. In 12 cases with pleural effusion, 3 cases of pericardial effusion. Conclusion 16SCTA imaging as a noninvasive vascular imaging method, has the advantages of safety, reliability and unique, which can clearly display the lesion characteristics and extent, and it is the first choice for diagnosis of AIH.