临床误诊误治2023，Vol.36Issue(8)：122-126,5.DOI:10.3969/j.issn.1002-3429.2023.08.026
超声心动图和多层螺旋CT对急诊主动脉夹层的诊断效能对比
Comparison of Diagnostic Efficacy of Echocardiography and Multi-slice Spiral CT in Emergency Aortic Dissection
摘要
Abstract
Objective To analyze the diagnostic value of echocardiography and multi-slice spiral CT in patients with emergency aortic dissection(AD).Methods A total of 180 patients with AD diagnosed by aortic angiography from January 2020 to October 2022 were selected.The diagnostic value of echocardiography and multi-slice spiral CT in AD was compared.Results In this study,there were 180 patients with AD,including 123 cases(68.3%)of Stanford type A and 57 cases(31.7%)of Stanford type B.The overall coincidence rate of echocardiography in the diagnosis of AD was 95.6%(172/180),and the coincidence rate of Stanford type A AD was 100%(123/123),which had no significant difference compared with multi-slice spiral CT(P＞0.05).The coincidence rate of Stanford type B AD by echocardiography was 86.0%(49/57),which was lower than that of multi-slice spiral CT(100%,57/57)(P＜0.05).The coincidence rate of echocardio-graphy for aortic valve abnormality was 100%(129/129),which was higher than that of multi-slice spiral CT(82.9%,107/129)(P＜0.05).The coincidence rate of echocardiography for the diagnosis of abnormal aortic arch was 96.2%(153/159),which was lower than that of multi-slice spiral CT(100%,159/159).Conclusion In the diagnosis and evaluation of AD,echocardiography and multi-slice spiral CT have advantages and disadvantages and diagnostic value,and should be com-bined when the patient＇s hemodynamics are stable,so as to make a comprehensive and accurate evaluation of the patient＇s AD and cardiac function.关键词
动脉瘤,夹层/Stanford A型/Stanford B型/主动脉造影术/升主动脉/超声心动图/体层摄影术,螺旋计算机/诊断Key words
Aneurysm,dissecting/Stanford type A/Stanford type B/Aortography/Ascending aorta/Echocardio-graphy/Tomography,spiral computed/Diagnosis分类
医药卫生引用本文复制引用
杨超,彭莹子,李玉峰,张梦,熊智巍..超声心动图和多层螺旋CT对急诊主动脉夹层的诊断效能对比[J].临床误诊误治,2023,36(8):122-126,5.基金项目
攀枝花市科技计划项目(2020ZD-S-25) （2020ZD-S-25）
