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几种常见急性肠系膜上动脉事件的多层螺旋CT血管造影诊断

陆瑶 李青春 方向军 何卫红

中国动脉硬化杂志2018,Vol.26Issue(2):190-193,4.
中国动脉硬化杂志2018,Vol.26Issue(2):190-193,4.

几种常见急性肠系膜上动脉事件的多层螺旋CT血管造影诊断

Value of multi-slice spiral CT angiography in diagnosing several common acute superior mesenteric artery events

陆瑶 1李青春 2方向军 1何卫红1

作者信息

  • 1. 南华大学第二附属医院放射科,湖南省衡阳市421001
  • 2. 南华大学第一附属医院放射科,湖南省衡阳市421001
  • 折叠

摘要

Abstract

Aim To investigate the manifestations of several common acute superior mesenteric artery events of multi-slice spiral CT angiography (MSCTA) in order to acknowledge the disease deeply.Methods The clinical and imaging data of 23 cases of acute superior mesenteric artery were reviewed and summarized.Results 9 of 23 cases were isolated superior mesenteric artery dissection(ISMAD),according to classification of YUN,the type Ⅰ (n =7) and the type Ⅱ b (n =2),double-lumen sign and low-density intimal flap were seen in all cases.3 of 23 cases were intramural haemorrhagic(IMH) with out-pouching ulcer crater.11 of 23 cases were acute superior mesenteric arter thromboembolism (SMAT),the direct signs of which in CT images was filling defect in mesenteric vessels.Conclusion Although the clinical symptoms of ISMAD,IMH and SMAT are similar,but each with typical imaging findings on MSCTA,which is accurate,fast and effective for the diagnosis of acute superior mesenteric artery events.

关键词

肠系膜上动脉/心脑血管意外事件/体层摄影术/X线计算机/血管造影

Key words

Superior mesenteric artery/Heart cerebrovascular accident/Tomography/X-ray computed/Angiography

分类

医药卫生

引用本文复制引用

陆瑶,李青春,方向军,何卫红..几种常见急性肠系膜上动脉事件的多层螺旋CT血管造影诊断[J].中国动脉硬化杂志,2018,26(2):190-193,4.

中国动脉硬化杂志

OACSTPCD

1007-3949

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