中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
7期
54-56,57
,共4页
戴捷%范治国%曹俊华%于峣%高宝军%丁晓娟%陈光真%李铁柱%袁凌
戴捷%範治國%曹俊華%于峣%高寶軍%丁曉娟%陳光真%李鐵柱%袁凌
대첩%범치국%조준화%우요%고보군%정효연%진광진%리철주%원릉
主动脉夹层%假腔%真腔%多层螺旋CT
主動脈夾層%假腔%真腔%多層螺鏇CT
주동맥협층%가강%진강%다층라선CT
Aortic dissection%False cavity%True cavity%Multislice spiral CT
目的：分析主动脉夹层的多层螺旋CT影像特征，尤其是内膜破口、直径、假腔的范围及受累血管的显示。方法：对60例主动脉夹层患者行多层螺旋CT检查，其影像信息进行后处理后再现，分析相关影像特点。结果：参考DeBakey分型，60例患者中Ⅰ型12例，Ⅱ型6例，Ⅲ型42例。其中3例合并升主动脉瘤样扩张，2例合并腹主动脉瘤样扩张，32例伴发胸腔或心包腔积液，18例假腔内有附壁血栓形成，17例合并明显的肾缺血，11例右半肠管缺血，2例左半肠管缺血，2例合并一侧下肢动脉闭塞。破裂口检查率为93%，影像诊断临床符合率为91.3%。结论：多层螺旋CT造影检查可明确主动脉夹层诊断、分型、受累范围及脏器累及情况评估和术后评估，对临床诊断的明确、手术方式制定及术后评估意义重大。
目的：分析主動脈夾層的多層螺鏇CT影像特徵，尤其是內膜破口、直徑、假腔的範圍及受纍血管的顯示。方法：對60例主動脈夾層患者行多層螺鏇CT檢查，其影像信息進行後處理後再現，分析相關影像特點。結果：參攷DeBakey分型，60例患者中Ⅰ型12例，Ⅱ型6例，Ⅲ型42例。其中3例閤併升主動脈瘤樣擴張，2例閤併腹主動脈瘤樣擴張，32例伴髮胸腔或心包腔積液，18例假腔內有附壁血栓形成，17例閤併明顯的腎缺血，11例右半腸管缺血，2例左半腸管缺血，2例閤併一側下肢動脈閉塞。破裂口檢查率為93%，影像診斷臨床符閤率為91.3%。結論：多層螺鏇CT造影檢查可明確主動脈夾層診斷、分型、受纍範圍及髒器纍及情況評估和術後評估，對臨床診斷的明確、手術方式製定及術後評估意義重大。
목적：분석주동맥협층적다층라선CT영상특정，우기시내막파구、직경、가강적범위급수루혈관적현시。방법：대60례주동맥협층환자행다층라선CT검사，기영상신식진행후처리후재현，분석상관영상특점。결과：삼고DeBakey분형，60례환자중Ⅰ형12례，Ⅱ형6례，Ⅲ형42례。기중3례합병승주동맥류양확장，2례합병복주동맥류양확장，32례반발흉강혹심포강적액，18례가강내유부벽혈전형성，17례합병명현적신결혈，11례우반장관결혈，2례좌반장관결혈，2례합병일측하지동맥폐새。파렬구검사솔위93%，영상진단림상부합솔위91.3%。결론：다층라선CT조영검사가명학주동맥협층진단、분형、수루범위급장기루급정황평고화술후평고，대림상진단적명학、수술방식제정급술후평고의의중대。
Objective: Analysis of multislice CT imaging characteristics of aortic dissection, especially lining breach False lumen diameter range and the affected blood vessels of displaying methods of 60 patients with aortic dissection were row multislice CT examination, imaging information for reprocessing, after analyzing the characteristics of the relevant images. Methods:Sixty patients with aortic dissection were row multislice CT examination, imaging information for reprocessing, after analyzing the characteristics of the relevant images. Results:Reference DeBakey type, type 12 cases, 6 cases, 42 cases in 3 merger litres of aortic aneurysm sample expansion, expansion and merger of 2 cases of abdominal aortic aneurysm samples with 32 cases of pleural or pericardial cavity effusion False lumen with mural thrombus formation is, 17 cases with obvious kidney ischemia 18 cases, 11 cases of right hemisphere bowel ischemia, left bowel ischemia is 1 side lower limb artery occlusion in 2 cases to the merger 2 cases of ruptured mouth check rate was 93%, the clinical image diagnosis coincidence rate was 91.3%. Conclusion:Multislice CT angiography can clear diagnosis of aortic dissection parting the affected scope and organ involvement situation assessment, after evaluation, to clinical diagnosis of clear surgical procedure and postoperative evaluation is of great significance.
