64层螺旋CT诊断血管性病变急腹症的临床价值分析

目的：探讨血管性病变导致急性腹痛的64层螺旋C T诊断价值。方法分析38例血管源性急腹症平扫及增强CT ，分析CT表现。结果内脏动脉瘤合并出血6例；腹主动脉及右侧髂总动脉瘤合并出血3例；腹主动脉分支夹层7例；肠系膜上动静脉扭转3例；肠系膜上动静脉栓塞及血栓形成14例；肾动脉栓塞5例。结论通过64层螺旋C T平扫及增强扫描，腹部血管性病变能清晰显示其病因、病变范围及其继发改变，达到诊断明确，所以腹痛疑诊为血管性病变时，CTA应作为影像学的首选检查方法。

Analysis of the clinical value of 64 CT in the diagnosis of vascular disease of acute abdomen

Objective To investigate the diagnostic value of 64 CT in vascular lesions of acute abdominal pain as the main symptom .Methods 38 cases of vasogenic abdomen CT scan were retrospectively analysed ,including plain and enhanced CT performance .Results Six cases were visceral aneurysm hemorrhage ,three cases presented with abdominal aorta and right common iliac artery aneurysm hemorrhage ,seven cases with aortic dissection branch ,three cases with the superior mesenteric vascular reversed ,14 case with arterial and venous thrombosis and mesenteric thrombosis formation ,and five cases with renal artery embolization .Conclusion After the multi-detector CT plain and enhanced scanning ,abdominal vascular lesions can be clearly shown its causes ,extent of leisions and secondary changes ,thereby reaching a clear diagno-sis .Hence ,CTA should be the preferred method of imaging examination when suspicious of abdominal vascular lesions .