CAJ | 학술논문

目的探讨16层螺旋CT血管成像在主动脉夹层诊治中的应用价值.方法回顾性分析61例主动脉夹层患者的16层CT血管成像资料,后处理技术包括多平面重建、最大密度投影、CPR、容积再现等.结果 AD分型Ⅰ型夹层10例,Ⅱ型8例,Ⅲ型43例.所有患者均见到明确的初始破裂口和对比剂进入假腔.32例有再入口,其中1例有5个破裂口、2例有3个破裂口、3例无明确的再入口.61例均有明确的真假腔和内膜片,内膜钙化16例,附壁血栓28例.结论 16层螺旋CT血管造影是诊断与评价主动脉夹层较有效的无创性检查方法之一,对于临床治疗方案的选择具有重要的应用价值.
목적 탐토16층라선CT혈관성상재주동맥협층진치중적응용개치.방법 회고성분석61례주동맥협층환자적16층CT혈관성상자료,후처리기술포괄다평면중건、최대밀도투영、CPR、용적재현등.결과 AD분형Ⅰ형협층10례,Ⅱ형8례,Ⅲ형43례.소유환자균견도명학적초시파렬구화대비제진입가강.32례유재입구,기중1례유5개파렬구、2례유3개파렬구、3례무명학적재입구.61례균유명학적진가강화내막편,내막개화16례,부벽혈전28례.결론 16층라선CT혈관조영시진단여평개주동맥협층교유효적무창성검사방법지일,대우림상치료방안적선택구유중요적응용개치.
Objective To study the application of 16-slice spiral CT imaging in diagnosis of aortic dissection.Methods Sixty-one patients with aortic dissection were examined through 16-slice spiral CT imaging.Post-processing techniques were MPR,MIP and VR.Results According to AD,type Ⅰ were 10 cases,type Ⅱ 8 cases and type Ⅲ 43 cases.After contrast-enhanced scanning,true and false lumen and intimal flap of aortic dissection could be shown in all of 61 cases.32 patients have re-entrance,in which 1 patients had five re-entrances,2 patients three re-entrances and three patients haven't any re-entrance.61 patients had explicited true and false lumen.16 patients had intimal calcification and 28 patients had mural thrombus.Conclusion Angiography with 16-slice spiral CT in the diagnosis and evaluation of aortic dissection is a more effective non-invasive screening method with some essential value for the clinical therapies.