目的:探讨多层螺旋CT(MSCT)在急性主动脉综合征(AAS)的临床应用价值。方法:采用西门子Sensation 16层螺旋CT扫描机,对59例主诉急性胸背痛患者进行MSCT检查。结果:59例患者中主动脉夹层(AD)40例,主动脉壁内血肿(IMH)11例,穿透性粥样硬化性溃疡(PAU)8例。MSCT能够显示三种疾病的特征性征象:AD可见内膜片和双腔征;IMH主动脉壁呈新月形或环形增厚≥5 mm;PAU为凸出于主动脉管腔外的造影剂充盈的龛影。结论:MSCT是一种快速、无创的检查方法,能为AAS的诊断提供重要信息。
Citation:
CHEN Hong,YANG Guoqing.. Diagnostic value of Multi-slice Spiral CT on Acute Aortic Syndrome. West China Medical Journal, 2009, 24(2): 395-397. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. Vilacosta L,San Roman JA.Acute aortic syndrome[J].Heart,2001,85(4):365-368..
- 2. 刘玉清.主动脉夹层、壁间血肿和穿透性粥样硬化性溃疡:影像学和发病机制探讨[J].中国介入影像与治疗学,2004,1(1):3-6..
- 3. LePage MA,Quint LE,Sonnad SS,et al.Aortic dissection:CT features that distinguish true lumen from false lumen[J].AJR,2001,177(1):207-211..
- 4. Castaner E,Andreu M,Gallardo X,et al.CT in nontraumatic acute thoracic aortic disease:typical and atypical features and complications[J].Radiographics,2003,23(S):93-110..
- 5. Romano L,Pinto A,Gagliardi N.Multidetectorrow CT evaluation of nontraumatic acute thoracic aortic syndromes[J].Radiol Med,2007,112(1):1-20..
- 6. Macura KJ,Corl FM,Fishman EK,et al.Pathogenesis in acute aortic syndromes:aortic dissection,intramural hematoma,and penetrating atherosclerotic aortic ulcer[J].AJR,2003,181(1):309-316..
- 7. Evangelista A.Aortic intramural haematoma:remarks and conclusions[J].Heart,2004,90(2):379381..
- 8. Evangelista A,Mukherjee D,Mehta RH,et al.Acute intramural tematoma of the aorta:a mystery in evolution[J].Circulation,2005,111(8):1063-1070..
- 9. Song JK.Diagnosis of aortic intramural hematoma[J].Heart,2004,90(4):368-371..
- 10. Hayashi H,Matsuoka Y,Sakamoto I,et al.Penetrating atherosclerotic ulcer of the aorta:imaging features and disease concept[J].Radiographics,2000,20(2):955-1005.