中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
11期
124-125,126
,共3页
王学廷%董致成%冯丽%潘为领
王學廷%董緻成%馮麗%潘為領
왕학정%동치성%풍려%반위령
主动脉弓%类型%多层螺旋CT血管造影
主動脈弓%類型%多層螺鏇CT血管造影
주동맥궁%류형%다층라선CT혈관조영
Aortic arch%Type%Multislice CT angiography
目的：利用多层螺旋CT血管造影(MSCTA)技术评价主动脉弓形态，并探讨其临床意义。方法：回顾性分析行颈胸部联合256CTA检查的240例无重要血管性疾病、无局部占位性疾病的受检者图像，其中男性147例、女性93例，年龄44岁～71岁，平均年龄51.8岁。应用CT测量软件分别测量颈总动脉内径、头臂干开口至主动脉弓顶垂直距离，并进行分型。结果：240例患者中I型116例(占48.33％)、Ⅱ型80例(占33．33％)、Ⅲ型44例(占18.33％)。根据不同年龄进行分组统计，发现32例青年组(≤45岁)中，I型24例(占75%)、Ⅱ型8例(占25%)、Ⅲ型无；104例中年组(46～59岁)中，I型60例(占57.69%)、Ⅱ型40例(占38.46%)、Ⅲ型4例(占3.84%)；104例老年组(≥60岁)中，I型32例(占30.76%)、Ⅱ型32例(占30.76%)、Ⅲ型40例(占38.46%)。结论：MSCTA技术对主动脉弓形态学判断准确，某些疾病介入术前进行MSCTA检查获取主动脉弓的相关资料与数据，对神经放射介入医生将具有重要的意义。
目的：利用多層螺鏇CT血管造影(MSCTA)技術評價主動脈弓形態，併探討其臨床意義。方法：迴顧性分析行頸胸部聯閤256CTA檢查的240例無重要血管性疾病、無跼部佔位性疾病的受檢者圖像，其中男性147例、女性93例，年齡44歲～71歲，平均年齡51.8歲。應用CT測量軟件分彆測量頸總動脈內徑、頭臂榦開口至主動脈弓頂垂直距離，併進行分型。結果：240例患者中I型116例(佔48.33％)、Ⅱ型80例(佔33．33％)、Ⅲ型44例(佔18.33％)。根據不同年齡進行分組統計，髮現32例青年組(≤45歲)中，I型24例(佔75%)、Ⅱ型8例(佔25%)、Ⅲ型無；104例中年組(46～59歲)中，I型60例(佔57.69%)、Ⅱ型40例(佔38.46%)、Ⅲ型4例(佔3.84%)；104例老年組(≥60歲)中，I型32例(佔30.76%)、Ⅱ型32例(佔30.76%)、Ⅲ型40例(佔38.46%)。結論：MSCTA技術對主動脈弓形態學判斷準確，某些疾病介入術前進行MSCTA檢查穫取主動脈弓的相關資料與數據，對神經放射介入醫生將具有重要的意義。
목적：이용다층라선CT혈관조영(MSCTA)기술평개주동맥궁형태，병탐토기림상의의。방법：회고성분석행경흉부연합256CTA검사적240례무중요혈관성질병、무국부점위성질병적수검자도상，기중남성147례、녀성93례，년령44세～71세，평균년령51.8세。응용CT측량연건분별측량경총동맥내경、두비간개구지주동맥궁정수직거리，병진행분형。결과：240례환자중I형116례(점48.33％)、Ⅱ형80례(점33．33％)、Ⅲ형44례(점18.33％)。근거불동년령진행분조통계，발현32례청년조(≤45세)중，I형24례(점75%)、Ⅱ형8례(점25%)、Ⅲ형무；104례중년조(46～59세)중，I형60례(점57.69%)、Ⅱ형40례(점38.46%)、Ⅲ형4례(점3.84%)；104례노년조(≥60세)중，I형32례(점30.76%)、Ⅱ형32례(점30.76%)、Ⅲ형40례(점38.46%)。결론：MSCTA기술대주동맥궁형태학판단준학，모사질병개입술전진행MSCTA검사획취주동맥궁적상관자료여수거，대신경방사개입의생장구유중요적의의。
Objective:Using multi-slice spiral CT angiography (MSCTA) technique in evaluating aortic arch form, and to explore the clinical significance.Methods: retrospective analysis of our hospital from 2010 November to 2013 March for cervical and thoracic 256CTA examination in 240 cases without significant vascular disease, no local space occupying disease subjects images, including 147 cases of male, female 93 cases, age 44 ~ 71 years old, the average age is 51.8 years old. Application of CT software respectively measure the internal diameter of carotid artery, brachiocephalic trunk opening to the aortic arch top vertical distance, typing.Results: In 240 patients, 116 cases of type I, 48.33%; II type in 80 cases, accounting for 33.33%; 44 cases of type III, 18.33%. Group statistics according to different age, found that in young group (≤ 45 years) a total of 32 cases, including 24 cases of type I, 75% type II, 8 cases, accounting for 25%, type III in 0 cases, accounting for 0%; the middle-aged group (46 ~ 59 years old) in 104 cases, including 60 cases of type I, 57.69%, II type in 40 cases, accounting for 38.46%, type III in 4 cases, accounting for 3.84%; aged group (≥60 years) in 104 cases, type I in 32 cases, accounting for 30.76%, type II in 32 cases, accounting for 30.76%, 40 cases of type III, 38.46%.Conclusion: MSCTA technology on the morphology of aortic arch judgment accurate, relevant data were examined by MSCTA to obtain the aortic arch diseases before interventional therapy and data, will have the vital significance to neural interventional radiology doctors.
