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64排螺旋CT血管造影对主动脉夹层的诊断价值
引用本文:荘高明,叶海鸣,林波淼,叶强.64排螺旋CT血管造影对主动脉夹层的诊断价值[J].CT理论与应用研究,2012,21(2):291-296.
作者姓名:荘高明  叶海鸣  林波淼  叶强
作者单位:1. 广州市番禺区中心医院放射科,广州,511400
2. 南方医科大学珠江医院放射科,广州,510282
3. 南方医科大学第三附属医院放射科,广州,510630
摘    要:目的:研究64排螺旋CT血管造影对主动脉夹层的诊断价值。方法:回顾性分析我院2009年至2011年上半年,经64排螺旋CT诊断为主动脉夹层的病例10例,其中6例经DSA证实诊断并治疗。结果:CT诊断Stanford B型6例,Stanford A型4例。Stanford B型6例均行介入腔内支架封堵术,术后分型诊断与CT完全符合。Stanford A型4例,临床认为不适合行介入手术支架治疗,经内科保守治疗,未行手术治疗。结论:64排螺旋CT血管造影不仅能准确地诊断主动脉夹层动脉瘤,而且能正确地分型及指导治疗。

关 键 词:64排螺旋CT  主动脉夹层  最大密度投影成像  容积重建

The Value of 64-slice Spiral CT Angiography in Diagnosing Aortic Dissection
ZHUANG Gao-ming,YE Hai-ming,LIN Bo-miao,YE Qiang.The Value of 64-slice Spiral CT Angiography in Diagnosing Aortic Dissection[J].Computerized Tomography Theory and Applications,2012,21(2):291-296.
Authors:ZHUANG Gao-ming  YE Hai-ming  LIN Bo-miao  YE Qiang
Institution:1.Imaging Center,Panyu Central Hospital,Panyu District,Guangzhou 511400,China 2.ZhuJiang Hospital,Southern Medical University,Guangzhou 510282,China 3.Department of radiology,Third Affiliated Hospital of Southern Medical University, Guangzhou 510630,China
Abstract:Objective:To investigate the value of 64-slice spiral CT angiography in diagnosing aortic dissection. Methods:Retrospective analysis 10 cases of aortic dissection in 2009 to 2011 first half,all diagnose by 64-slice spiral CT angiography,and 6 cases Treatment by DSA.Results:CT results,6 cases were classified with Stanford type B,and 4 cases with Stanford type A.Six cases of Stanford B type treated by aortic endovascular repair of stent-graft.Postoperative classification are full compliance with CT.Four cases of Stanford type A are considered by Clinical unsuitable for Interventional procedures,conservative treatment,no surgical.Conclusion:The 64-slice spiral CT angiography not only a good diagnosis method of aortic dissection,but also can type correctly,guide treatment.
Keywords:64-slice spiral CT  aortic dissection  MIP  VR
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