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32例主动脉夹层MRI诊断
引用本文:姜华,闫东,王家平,袁曙光,李迎春,郭立,杨青,杨绍军,童玉云.32例主动脉夹层MRI诊断[J].云南医药,2009(2):140-142.
作者姓名:姜华  闫东  王家平  袁曙光  李迎春  郭立  杨青  杨绍军  童玉云
作者单位:昆明医学院第二附属医院放射科,云南昆明650001
摘    要:目的探讨不同MRI检查方法对主动脉夹层(AD)诊断的价值。方法收集我院临床诊断为主动脉夹层患者32例。患者行MRI不同方法检查(平扫、增强、电影成像及血管造影),4名经验丰富的放射学医师分别对所有图像进行分析,并与CT、DSA及手术结果对比研究。结果MRI共显示主动脉夹层32例(Ⅰ型6例,Ⅱ型4例,Ⅲ型22例)。结论MRI扫描较其他检查对AD及其合并症的诊断、分型及临床治疗具有重要价值。

关 键 词:主动脉夹层  MRI  诊断

Analysis of MRI diagnosis in 32 cases with dissection of aorta.
Institution:JIANG Hua, YAN Dong, WANG Jia-ping, et al. (DSA Division, The Second Affiliated Hospital of Kunming Medical College, Yunnan 650101,China)
Abstract:Objective To explore the MRI diagnostic features of aortic dissection (AD).Methods MRI plain scannings, MRI enhancement scannings, MRI film imaging, and MRI angiography were performed in all 32 cases with AD. Results The true and false channels, the intimal flap, the thrombus, the location of the rupture and the aortic coverage were analyzed. According to the classification of DeBakey,6 cases were of type Ⅰ ;4 were of type Ⅱ ;22 were of type Ⅲ .Conclusion MRI scanning has more important value for diagnosis, classification and clinical treatment of the dissecting aorta than other examinations.
Keywords:Dissecting aorta  MRI  Diagnosis
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