CAJ | 학술논문

目的:研究多层螺旋C T对主动脉夹层真假腔的诊断及鉴别诊断.方法:选择2012年1月份到2015年7月份期间在我院进行治疗的43例主动脉夹层患者为研究对象,使用回顾性分析方法分析患者的C T影像学资料,对所选患者采用CTA检查方法进行真假腔的诊断及鉴别诊断,观察多层螺旋CT血管造影(CTA)的诊断和鉴别诊断效果.结果:CTA检查清晰的显示了患者的内膜破口,内膜片以及真假腔,分型结果为(DeBakey分型):1型者10例,2型者2例,3型者31例以及(S t a n f o r d分型)A型者12例,B型者31例.结论:使用多层螺旋CT血管造影进行主动脉夹层真假腔的诊断及鉴别诊断具有快速和准确以及无创的优点,对于主动脉夹层患者临床治疗方案的选择具有重要的意义.
목적:연구다층라선C T대주동맥협층진가강적진단급감별진단.방법:선택2012년1월빈도2015년7월빈기간재아원진행치료적43례주동맥협층환자위연구대상,사용회고성분석방법분석환자적C T영상학자료,대소선환자채용CTA검사방법진행진가강적진단급감별진단,관찰다층라선CT혈관조영(CTA)적진단화감별진단효과.결과:CTA검사청석적현시료환자적내막파구,내막편이급진가강,분형결과위(DeBakey분형):1형자10례,2형자2례,3형자31례이급(S t a n f o r d분형)A형자12례,B형자31례.결론:사용다층라선CT혈관조영진행주동맥협층진가강적진단급감별진단구유쾌속화준학이급무창적우점,대우주동맥협층환자림상치료방안적선택구유중요적의의.
Objective To study the multislice spiral CT true and false lumen of aortic dissection diagnosis and differential diagnosis.Methods January 2012 to January 2015 period in our hospital for treatment of 43 cases of aortic dissection patients for the study, analysis of the patient's CT imaging data using retrospective analysis of patients with 16-slice CTA selected inspection methods for diagnosis and differential diagnosis of true and false lumen was observed multislice spiral CT angiography (CTA) in the diagnosis and differential diagnosis effect.Results CTA examination clearly shows the patient's intimal tear, the intimal flap and true and false lumen, genotyping results (DeBakey classification): I type in 10 cases, 2 cases of Type II, III type in 31 cases and (Stanford type) 12 cases were type A, B type in 31 cases.Conclusion The use of multislice spiral CT angiography true and false lumen of aortic dissection diagnosis and differential diagnosis has the advantage of fast and accurate and non-invasive, the choice of clinical treatment of patients with aortic dissection has important significance.