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MSCT对主动脉夹层的诊断价值
引用本文:张灿,周运锋,韩萍,史河水,刘永华,.MSCT对主动脉夹层的诊断价值[J].放射学实践,2009,24(5):480-483.
作者姓名:张灿  周运锋  韩萍  史河水  刘永华  
作者单位:华中科技大学同济医学院附属协和医院肿瘤中心CT室,武汉,430020
摘    要:目的:探讨MSCT对主动脉夹层疾病的诊断价值。方法:回顾性分析48例主动脉夹层患者的MSCT血管成像资料。结果:全部病例均能辨别真假腔;除6例假腔完全血栓化或表现为壁内血肿的病例外,其余42例均能显示破口,40例显示多发破口;主动脉弓三大分支均受累及的有6例,腹腔干受累及的有9例,肠系膜上动脉受累及的有10例,右肾动脉受累及的有8例,左肾动脉受累及的有15例,右侧髂总动脉受累及的有18例,左侧髂总动脉受累及的有13例,双侧均受累及的有8例;合并动脉瘤或瘤样扩张的有10例,合并粥样硬化的有20例。结论:MSCT可无创性准确诊断各种主动脉夹层。

关 键 词:主动脉夹层  主动脉疾病  体层摄影术  X线计算机

Value of Multi-slice CT in the Diagnosis of Aortic Dissection
ZHANG Can,ZHOU Yun-feng,HAN Ping,et al..Value of Multi-slice CT in the Diagnosis of Aortic Dissection[J].Radiologic Practice,2009,24(5):480-483.
Authors:ZHANG Can  ZHOU Yun-feng  HAN Ping  
Institution:ZHANG Can,ZHOU Yun-feng,HAN Ping,et al.CT Department,Cancer Center,Xiehe Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430020,P.R.China
Abstract:Objective:To study the value of multi-slice spiral CT(MSCT) in the diagnosis of aortic dissection.Methods:The MSCT imaging materials of 48 patients with aortic dissection were retrospectively analyzed.Results:True or false lumen could be demonstrated in all 48 patients.Apart from 6 patients with complete obliteration by thrombosis of the false lumen or intramural hematoma,leakage was showed in the rest of 42 patients,40 of them had multiple leaks.All of the three main branches of aortic arch were involved i...
Keywords:Aortic dissection  Aortic diseases  Tomography  X-ray computed  
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