摘要
目的：探讨应用16层螺旋CT诊断主动脉粥样硬化性溃疡的价值。方法：分析15例经16层螺旋CT诊断为主动脉粥样硬化性溃疡，14例以急性主动脉综合征就诊，1例以慢性病史就诊。观察溃疡的大小、形态、深度、数量及周围结构关系等。结果：单发溃疡12例，多发溃疡3例；14例急性患者均伴发范围较广泛的主动脉壁内血肿，其中10例合并中量以上血性胸腔、纵隔及心包积液，而1例慢性患者仅为局限的假性动脉瘤，不合并壁内血肿及血性积液等。结论：16层螺旋CT能够对主动脉粥样硬化性溃疡作出准确诊断，可作为急诊首选检查方法。
Abstract
Objective: To investigate 16-slice spiral CT in diagnosing atherosclerotic ulcer of the aorta. Methods: Fifteen patients with atherosclerotic ulcer of the aorta, who underwent 16-slice spiral CT, were studied retrospectively. Of the 15 patients, 14 patients had acute aortic syndromes, 1 patient with other chronic diseases. More attention was put on the size, shape, depth, number and adjacent structure of the atherosclerotic ulcer. Results: Twelve patients had 1 lesion, 3 patients had multiple lesions. Fourteen patients with acute aortic syndromes had fairly long intramural hematoma and 10 patients with middle pleural, mediastinal, pericardial effusion; however 1 patient with other chronic diseases had local pseudoaneurysm without intramural hematoma and effusion. Conclusion: 16-slice spiral CT is of high value in diagnosing atherosclerotic ulcer of the aorta and may be the first choice diagnostic device for emergency.
关键词
溃疡 /
主动脉疾病 /
体层摄影术 /
X线计算机
Key words
Ulcer /
Aortic diseases /
Tomography /
X-ray computed
董海波;李 晖;王 波;罗雪芬;朱海东;刘亚萍;陈意敏.
主动脉粥样硬化性溃疡的16层CT诊断[J]. 中国临床医学影像杂志. 2008, 19(4): 247-249
DONG Hai-bo;LI Hui;WANG Bo;LUO Xue-fen;ZHU Hai-dong;LIU Ya-ping;CHEN Yi-min.
Application study of 16-slice spiral CT in diagnosing atherosclerotic ulcer of the aorta[J]. Journal of China Clinic Medical Imaging. 2008, 19(4): 247-249
中图分类号：
Ｒ543.1
Ｒ573.1
R814.42
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