医疗卫生装备2012，Vol.33Issue(7)：58-60,3.
主动脉夹层CT平扫与CT血管造影的对比分析
Comparative Study for Noncontrast CT Scan and CTA in Aortic Dissection
吉六舟 1刘秀平 2李洪涛 1刘义康 1邓全成 1杨建林1
作者信息
- 1. 孝感市中心医院CT室,湖北孝感432000
- 2. 湖北职业技术学院医学分院,湖北孝感432000
- 折叠
摘要
Abstract
Objective To compare the value of noncontrast CT scan and CTA in the clinical application of aortic dissection. Methods Thirty-two cases of aortic dissection admitted in Xiaogan Central Hospital from February 2008 to June 2011 were retrospectively analyzed. All patients took CTA after CT scan and the results were compared, of which, 15 cases took emergency CT followed with CTA the next day, and other cases took CTA right after noncontrast CT scan. Results Among 32 cases of aortic dissection, 21 ones were typical aortic dissection, 11 ones were atypical aortic dissection (intramural hematoma). According to the Stanford classification, 10 cases were type A, 22cases were type B. In the 21 typical aortic dissection cases, 20 cases showed torn intima in CT scan, 1 case only presented aorta widen. CTA showed enhancement in both true and false lumen. 2 cases displayed calcification shifted with torn intima. In the 11 atypical aortic dissection cases, CT scan showed high density thickening of the aortic wall in semilunar or ring pattern, with a thickness of over 5 mm, the hematomas were unenhanced and appeared as semilunar or ring low density area, 7 cases were accompanied with intima calcification shift, 3 cases with intima leakage, 5 cases with penetrating ulcer. Among the 15 cases with' atherosclerotic change, 4 cases showed pericardial effusion, 24 cases showed pleural effusion. Conclusion CTA is more specific for the di-agnosis of aortic dissection than uncontrast CT scan, however, uncontrast CT scan can provide valuable information for the diagnosis of aortic dissection, especially for emergency patients with limited time and condition for CTA. [Chinese Medical Equipment Journal,2012,33(7):58-60]关键词
主动脉夹层/体层摄影术/X线计算机/血肿Key words
aortic dissection/ tomography/ X-ray computer/ hematoma分类
医药卫生引用本文复制引用
吉六舟,刘秀平,李洪涛,刘义康,邓全成,杨建林..主动脉夹层CT平扫与CT血管造影的对比分析[J].医疗卫生装备,2012,33(7):58-60,3.
