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CT血管造影技术在主动脉假性动脉瘤诊治中的应用价值(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第6期
页码:
702-704
栏目:
临床研究
出版日期:
2007-12-20

文章信息/Info

Title:
Clinical value of CT angiography in pseudoaneurysm of aorta
作者:
杜渭清12张雪林1徐俊卿2龚雪鹏2徐健2刘莹2
1.南方医科大学南方医院影像中心,广东 广州 510515;2.第四军医大学西京医院放射科,陕西 西安 710032
Author(s):
DU Wei-qing12ZHANG Xue-lin1XU Jun-qing2GONG Xue-peng2XU Jian2LIU Ying2
1.Diagnostic Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, China; 2.Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, Shaanxi, China
关键词:
主动脉假性动脉瘤体层摄影术X线计算机
Keywords:
aortapseudoaneurysmtomography Xray computed
分类号:
R732.21;R814.42
DOI:
-
文献标识码:
A
摘要:
目的 探讨CT血管造影技术(CTA)在主动脉假性动脉瘤的临床应用价值。方法 对18例主动脉假性动脉瘤患者进行电子束CT检查,将图像传至工作站进行后处理,运用不同的重建方法对血管进行显示,包括多平面重建(MPR)、曲面重建(CPR)、最大密度投影(MIP)和容积显示(VR)技术。结果 18例主动脉假性动脉瘤CTA诊断均被手术或血管介入治疗证实。轴位图像与多种重建图像相结合能清晰地显示主动脉假性动脉瘤的解剖细节及其与周围器官的空间解剖关系。结论 CTA可显示主动脉假性动脉瘤的特征性征象, 在病变的诊断、术式选择及术后随访中有重要应用价值。
Abstract:
AIM To investigate the clinical value of CT angiography(CTA) in pseudoaneurysm of aorta(PAA). METHODS EBCT was performed in 18 patients with PAA.The volume data of all the patients were reconstructed with 3D techniques including multiplanar reconstruction (MPR), curved planar reformation (CPR), maximum intensity projection (MIP) and volume rendering(VR). RESULTS The diagnostic accuracy of CTA was 100% and the anatomical characteristics and the relationship between PAA and neighboring organs could be visualized clearly and directly by the reconstructed images combined with the transverse images. CONCLUSION CTA can depict the specific signs of PAA and is therefore of much value in the diagnosis and preoperative and postoperative evaluations.

参考文献/References

[1] 刘玉清.心血管影像诊断学[M].合肥:安徽科学技术出版社,2000: 678-702.

[2] 宋涛,冯莉萍,夏豪,等.粥样斑块发生发展过程中炎症和新生内膜血管之间的关系[J]. 心脏杂志,2006,18(6): 636-639,642.

[3] Dyer DS, Moore EE, Mestek MF, et al. Can chest CT be used to exclude aortic injury? [J] Radiology,1999,213(1):195-202.

[4] Ramsay DW, McAuliffe W. Traumatic pseudoaneurysm and high flow arteriovenous fistula involving internal jugular vein and common carotid artery. Treatment with covered stent and embolization[J]. Australas Radiol,2003,47(2):177-180.

[5] 木拉提,霍强,艾斯卡尔,等.主动脉瘤33例的外科治疗[J]. 心脏杂志,2006,18(4): 481.

[6] Armerding MD, Rubin GD, Beaulieu CF, et a1.Aortic aneurismal disease: assessment of stentgraft treatmentCT versus conventional angiography[J].Radiology, 2000,215(1):138-146.

备注/Memo

备注/Memo:
收稿日期:2007-06-29.作者简介:杜渭清,主治医师,博士 Email:dwqing@fmmu.edu.cn
更新日期/Last Update: