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MRI结合3D CE MRA对主动脉夹层的诊断价值
引用本文:吴颋,郭少华,许凡勇,陈惠. MRI结合3D CE MRA对主动脉夹层的诊断价值[J]. 赣南医学院学报, 2012, 32(2): 174-176. DOI: 10.3969/j.issn.1001-5779.2012.02.005
作者姓名:吴颋  郭少华  许凡勇  陈惠
作者单位:1.赣南医学院第一附属医院CTMR室,江西 赣州,341000;2.赣南医学院第一附属医院CTMR室,江西 赣州,341000;3.赣南医学院第一附属医院CTMR室,江西 赣州,341000;4.赣南医学院第一附属医院CTMR室,江西 赣州,341000
摘    要:目的:探讨常规MRI结合3D CE MRA对主动脉夹层动脉瘤的诊断价值.方法:回顾分析40例主动脉夹层病例,均行常规MRI和3D CE MRA检查.结果:40例主动脉夹层动脉瘤,DeBaKey Ⅰ 型7例,DeBaKeyⅡ型8例,DeBaKey Ⅲ甲型2例.DeBaKeyⅢ乙型23例.本组40例均显示双腔征及内膜片,25例显示破口,13例假腔内血栓形成,16例伴少量胸腔积液.结论:常规MRI结合3D CE MRA对主动脉夹层动脉瘤的显示具有一定的敏感性和特异性,对主动脉夹层动脉瘤的诊断有重要价值.

关 键 词:动脉瘤,主动脉夹层  磁共振成像  诊断

The value of conventional MRI combined with 3D CE-MRA in diagnosing aortic dissection
Affiliation:WU Ting,GUO Shao-hua,XU Fan-yong,et al(The First Affiliated Hospital,Gannan Medical University,Ganzhou,Jiangxi 341000)
Abstract:Objective:To explore the value of conventional MRI combined with 3D CE-MRA in diagnosing aortic dissection.Methods:Retrospectively analysed 40 cases of aortic dissection,all cases were examined by conventional MRI and 3D CE-MRA.Results:40 cases of aortic dissection including: 7 cases of DeBakeyⅠ,8 cases of DeBakey Ⅱ,2 cases of DeBakey Ⅲ type A,23 cases of DeBakey Ⅲ type B.40 cases with double cavity sign and internal flap,25 cases with crevasse,13 cases with thrombosis in false lumen,16 cases with a few of pleural effusion.Conclusion:Conventional MRI combined with 3D CE-MRA has a certain sensitivity and specificity in displaying the aortic dissection,having important value in diagnosiing aortic dissection.
Keywords:aneurysm,aortic dissection  magnetic resonance imaging  diagnosis
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