CAJ | 학술논문

目的：探讨多层螺旋CT血管成像（MSCTA）在肠系膜上动脉瘤（superior mesenteric artery aneurysms, SMAA）诊断中的应用价值。方法回顾性分析6例SMAA患者的临床资料和MSCTA表现。结果 6例共检出SMAA 6个，瘤体大小0.7 cm×0.6 cm×1.2 cm～3.0 cm×2.5 cm×5.0 cm。其中4例位于肠系膜上动脉主干，2例位于回结肠动脉分支；3例瘤体钙化，4例血栓形成，1例瘤体破裂伴腹腔积血。结论MSCTA清晰地显示SMAA及其特征性表现，有助于临床治疗方案的制定。
목적：탐토다층라선CT혈관성상（MSCTA）재장계막상동맥류（superior mesenteric artery aneurysms, SMAA）진단중적응용개치。방법회고성분석6례SMAA환자적림상자료화MSCTA표현。결과 6례공검출SMAA 6개，류체대소0.7 cm×0.6 cm×1.2 cm～3.0 cm×2.5 cm×5.0 cm。기중4례위우장계막상동맥주간，2례위우회결장동맥분지；3례류체개화，4례혈전형성，1례류체파렬반복강적혈。결론MSCTA청석지현시SMAA급기특정성표현，유조우림상치료방안적제정。
Objective To explore diagnostic value of multi-slice spiral CT angiography (MSCTA) in superior mesenteric artery aneurysms (SMAA). Methods The MSCTA data of 6 patients with SMAA were analyzed retrospectively. Results 6 SMAA with the size of 0.7 cm×0.6 cm×1.2 cm~3.0 cm×2.5 cm×5.0 cm were detected in 6 subjects. 4 cases of SMAA were located on superior mesenteric artery, 2 cases on ileocolic artery. Obvious calcification was shown in 3 cases, visible thrombosis in 4 cases, and cavity hematoma due to tumor rupture was shown in 1 case. Conclusion MSCTA angiography could clearly demonstrated the characteristic findings of SMAA and would be helpful for the planning of treatment.