| 杨呈伟,李炯佾,苏华伟,冯卫华,胡海波,吴文辉,金敬琳.多层螺旋CT血管成像诊断和随访主动脉壁内血肿及伴发病变[J].中国医学影像技术,2013,29(11):1833~1837 |
| 多层螺旋CT血管成像诊断和随访主动脉壁内血肿及伴发病变 |
| Aortic intramural hematoma and concomitant lesions：Value of MSCTA in diagnosis and follow-up |
| 投稿时间：2013-05-08 修订日期：2013-08-21 |
| DOI： |
| 中文关键词: 主动脉 血肿 体层摄影术,X线计算机 随访研究 |
| 英文关键词:Aorta Hematoma Tomography, X-ray computed Follow-up studies |
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| 中文摘要: |
| 目的 探讨MSCTA在主动脉壁内血肿(IMH)及伴发病变的诊断及随访中的价值。方法 2006年5月-2012年12月,224例患者以急性主动脉综合征(AAS)或慢性病史就诊并接受主动脉MSCTA检查,其中37例诊断为IMH。分析IMH及其伴发病变的CT表现,并进行连续性定期随访。结果 37例IMH中,Stanford A型12例(12/37,32.43%),Stanford B型25例(25/37,67.57%);保守治疗21例,介入治疗10例,外科治疗6例。首次CT扫描IMH最大厚度6~27 mm,平均(12.3±4.9)mm,IMH处主动脉最宽外径32~73 mm,平均(40.7±7.6)mm。结论 MSCTA能够反映IMH及伴发病变的形态学特点,可作为诊断及治疗后随访的首选影像学方法。 |
| 英文摘要: |
| Objective To assess the value of MSCTA in the diagnosis and follow-up of aortic intramural hematoma (IMH) and concomitant lesions of the aorta. Methods From May 2006 to December 2012, totally 224 patients with acute aorticsyndrome (AAS) or history of chronic diseases underwent MSCTA, among which 37 were diagnosed as IMH. MSCTA findings of the affected aorta were evaluated on admission and at continuous follow-up. The concomitant lesions were also assessed. Results In all 37 patients, 12 were diagnosed as Stanford type A IMH (12/37, 32.43%), 25 as Stanford type B (25/37, 67.57%). The therapy included a conservative medical management (n=21), intervention (n=10) and surgical operation (n=6). The mean thickness of IMH was (12.3±4.9)mm (ranged 6-27 mm), and the aortic external diameter of IMH was (40.7±7.6)mm (ranged 32-73 mm). Conclusion MSCTA is the preferred primary diagnostic and follow-up imaging method for patients with suspected or known IMH. |
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