CAJ | 학술논문

目的探讨16排CT血管成像对主动脉夹层的诊断价值.方法选取本组2010年6月到2012年4月收治的主动脉夹层患者32例,均行16排CT扫描,并结合相关血管成像处理方法进行诊断.结果本组病例的主动脉夹层分型结果为：Ⅰ型9例(28.1%),Ⅱ型4例(12.5%),Ⅲ型19例(59.4%).在本组病例的16排CT平扫中,血管内膜钙化向腔内移位≥5mm者11例(34.3%).本组病例均行血管造影增强扫描,全部显示撕裂的内膜片,呈现线形低密度影,断层像上呈现弧形,二维重建像呈现直线状或螺旋状低密度线状影.结论在主动脉夹层患者的临床诊断中,16排CT血管成像技术的应用具有准确、快速、无创等优点,可以作为首选的诊断方法.
목적탐토16배CT혈관성상대주동맥협층적진단개치.방법선취본조2010년6월도2012년4월수치적주동맥협층환자32례,균행16배CT소묘,병결합상관혈관성상처리방법진행진단.결과본조병례적주동맥협층분형결과위：Ⅰ형9례(28.1%),Ⅱ형4례(12.5%),Ⅲ형19례(59.4%).재본조병례적16배CT평소중,혈관내막개화향강내이위≥5mm자11례(34.3%).본조병례균행혈관조영증강소묘,전부현시시렬적내막편,정현선형저밀도영,단층상상정현호형,이유중건상정현직선상혹라선상저밀도선상영.결론재주동맥협층환자적림상진단중,16배CT혈관성상기술적응용구유준학、쾌속、무창등우점,가이작위수선적진단방법.
Objective: To evaluate the diagnostic value of 16-row angiography in aortic dissection. Methods:32 cases of patients recieved with aortic dissection from June.2010. to April.2012 were selected for the 16-row CT scan and combined with angiography processing method for diagnosis. Results: The classification of aortic dissection of this group cases as follows:9 cases for type I (28.1%),4 cases for type II (12.5%),19 cases for type III (59.4%). In the plain 16-row CT scan of this group cases,11 cases of patients with vascular intima calcification displace to the cavity larger than 5mm(34.3%). All cases of this group performed enhanced angiography, and showed tearing intimal flap, presented linear low density image, tomography presented an arc image,reconstructed two dimensional images presented a straight-line or spiral low density linear image. Conclusion: In the clinical diagnosis of aortic dissection patients,16-row angiography technique has a rapid, accurate and non-invasive advantage, and could be the preferred method for diagnosis.