中国医疗设备Issue(12)：8-11,4.DOI:10.3969/j.issn.1674-1633.2014.12.003
MSCTA及图像后处理诊断自发孤立性肠系膜上动脉夹层
Diagnosis of Spontaneous Isolated Dissection of Superior Mesenteric Artery by MSCTA and Image post-processing Technique
靳明旭 1王利伟 1殷信道 1周星帆1
作者信息
- 1. 南京医科大学附属南京医院 南京市第一医院 医学影像科，江苏 南京210006
- 折叠
摘要
Abstract
ObjectiveToevaluatethevalueofmulti-slicespiralCTangiography(MSCTA)withpost-processing image features in the diagnosis of spontaneous isolated dissection of superior mesenteric artery(SIDSMA).MethodsMSCTAandpost-processingimagesof 21SIDSMApatientswerereviewed retrospectively. Multiple post-processing techniques were used to analyze the image data such as dissection rupture, true and false lumen, intimalfiaps, extent of interbed, branches’affected situation andpresenceofischemia.ResuItsInthese 21patients,therewere 14patientshadclearruptures.Thedistance fromtheoriginofthesuperiormesentericartery (SMA)tothetearrangedfrom 1.4cmto 5.5cm.Thelengthof dissectionrangedfrom 5.5cmto 15.9cm.Therewere 14patientshadclearintimalfiaps, 18patientshadfalse lumenthrombosis, 6patientshadpseudoaneurysmofSMA, 3patientshadaneurysmaldilatationofthe SMA. 1patienthaddissectinganeurysmruptured. 17patientshadstenosisofthetruelumen, 2patients hadSMAtrunkocclusion, 12patientshadSMAbranchesinvolvement,and 2patientshadacutesmall intestinalischemia. ConcIusionMSCTAandimagepost-processingtechniqueprovidecleardiagnosis and accurate evaluation of SIDSMA, which are helpful for the choice of clinical therapy.关键词
多层螺旋CT血管成像/体层摄影术/图像后处理技术/孤立性肠系膜上动脉夹层Key words
multi-slicespiralCTangiography/tomography/imagepost-processing/isolateddissection of superior mesenteric artery分类
医药卫生引用本文复制引用
靳明旭,王利伟,殷信道,周星帆..MSCTA及图像后处理诊断自发孤立性肠系膜上动脉夹层[J].中国医疗设备,2014,(12):8-11,4.
