| 于绍梅,韩建成,高爽,杨旭,郝晓燕,何怡华.经胸超声心动图诊断A型主动脉壁间血肿[J].中国医学影像技术,2021,37(8):1150~1153 |
| 经胸超声心动图诊断A型主动脉壁间血肿 |
| Transthoracic echocardiography in diagnosis of type A aortic intramural hematoma |
| 投稿时间：2021-02-01 修订日期：2021-06-10 |
| DOI：10.13929/j.issn.1003-3289.2021.08.008 |
| 中文关键词: 主动脉,胸 血肿 超声心动描记术 |
| 英文关键词:aorta, thoracic hematoma echocardiography |
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| 中文摘要: |
| 目的 观察经胸超声心动图诊断A型主动脉壁间血肿的价值。方法 回顾性分析40例经CT血管成像（CTA）确诊的A型主动脉壁间血肿患者的临床资料及超声心动图表现，评价经胸超声心动图诊断A型主动脉壁间血肿的价值。结果 40例A型主动脉壁间血肿患者，男25例（25/40，62.50%），女15例，发病中位年龄55岁；以胸背部疼痛（36/40，90.00%）为主要症状；其中30例有高血压病史、15例有吸烟史。主动脉壁间血肿超声主要表现为主动脉壁内-中膜与外膜间存在厚薄不均匀低回声；主动脉窦部增宽与年龄、高血压病史相关（r=0.51，P=0.01；r=0.34，P=0.03）。25例（25/40，62.50%）合并主动脉瓣反流，其中21例（21/25，84.00%）为轻度反流；12例合并心包积液，其中10例（10/12，83.33%）为少量积液。结论 经胸超声心动图对诊断A型主动脉壁间血肿有一定价值，并可用于患者随访。 |
| 英文摘要: |
| Objective To observe the value of transthoracic echocardiography in diagnosis of type A aortic intramural hematoma. Methods Clinical data and echocardiographic findings of 40 patients with type A aortic intramural hematoma confirmed by CT angiography (CTA) were retrospectively analyzed. Results Among 40 patients of type A aortic intramural hematoma, males (n=25) were more than females (n=15), with a median age of 55 years. Chest and/or back pain (36/40, 90.00%) was the main complaints. There were 30 cases with history of hypertension and 15 with history of smoking. The main ultrasonic manifestations of aortic intramural hematoma were inhomogeneous and hypoechoic intima-media and adventitia of aortic wall. The widening of aortic sinus was correlated with age and history of hypertension (r=0.51, P=0.01; r=0.34, P=0.03). Aortic regurgitations were observed in 25 cases (25/40, 62.50%), in 21 cases (21/25, 84.00%) were mild regurgitation, and small amount effusion was noticed in 10 cases (10/12, 83.33%) among 12 cases with pericardial effusion. Conclusion Transthoracic echocardiography had certain value for diagnosis of type A aortic intramural hematoma, also for patients follow-up. |
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