| 多层螺旋CT血管成像对急性肠系膜缺血性疾病的诊断价值 |
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| 引用本文： | 龚晓虹,付传明,徐霖,陈伦刚,王忠平,刘超.多层螺旋CT血管成像对急性肠系膜缺血性疾病的诊断价值[J].CT理论与应用研究,2013(4):673-678. |
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| 作者姓名： | 龚晓虹 付传明 徐霖 陈伦刚 王忠平 刘超 |
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| 作者单位： | 湖北医药学院附属太和医院放射影像中心,湖北十堰442000 |
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| 摘 要： | 目的：评价多层螺旋cT血管成像（MSCTA）在急性肠系膜缺血性疾病中的诊断价值。方法：搜集2010年1月至2013年1月临床拟诊急性肠系膜缺血性疾病患者30例，分别行MSCTA检查，动脉期扫描延迟时间采用手动触发扫描，动脉期扫描结束后立即进行静脉期扫描，对比剂60mL，注射速率4mL／s。将获得薄层数据传至AW4．4工作站，分别进行多平面重组、曲面重组、容积再现和最大密度投影。结果：30例急性肠系膜缺血性疾病均经临床证实，其中20例行数字减影血管造影证实，MSCTA检查结果与DSA结果一致；肠系膜上动脉栓塞14例，合并动脉夹层2例，肠系膜下动脉栓塞6例，肠系膜上静脉8例，肠系膜下静脉2例。结论：MSCTA检查安全、快速、准确及价廉，是诊断急性肠系膜缺血性疾病的首选检查方法，对临床早诊断和早治疗有重要的指导价值。
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| 关 键 词： | 多层螺旋CT 肠系膜 缺血 急性 血管成像 |
Diagnostic Value of MSCT Angiography in Acute Mesenteric Ischemic Disease |
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| GONG Xiao-hong,FU Chuan-ming,XU Lin,CHEN Lun-gang,WANG Zhong-ping,LIU Chao.Diagnostic Value of MSCT Angiography in Acute Mesenteric Ischemic Disease[J].Computerized Tomography Theory and Applications,2013(4):673-678. |
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| Authors: | GONG Xiao-hong FU Chuan-ming XU Lin CHEN Lun-gang WANG Zhong-ping LIU Chao |
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| Institution: | Radiology image center, Affiliated Taihe Hospital, Hubei university of medicine, Shiyan 442000, China |
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| Abstract: | Objective： to assess the diagnostic value of MSCT angiography in acute mesenteric ischemic disease. Method： collected 30 clinical suspecting cases of acute mesenteric ischemic disease which examined with MSCTA from January 2010 to January 2013, attain arterial scanning time with manually trigger scanning, then venous phase scanning with 60 mL contrast agent and injection rate of 4 mL/s. Then transmit the thin-layer data to AW4.4 workstation to conduct MPR, CPR, VR and MIP. Results： 30 cases of acute mesenteric ischemic disease were all confirmed, 20 cases diagnosed with DSA were confirmed, showing the same result with those diagnosed with MSCTA; Among them, 14 cases were superior mesenteric artery embolism, 2 case were merged with artery dissection, 6 cases were inferior mesenteric artery embolism, 8 cases were superior mesenteric vein, 2 cases were inferior mesenteric vein. Conclusion： MSCTA is safe, fast, precise, economical and preferred diagnostic method for acute mesenteric ischemic disease; meanwhile it has important guiding value for clinical early diagnosis and early treatment. |
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| Keywords: | multi-slice computed tomography acute mesentery ischemia angiography |
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