DSA和经皮带膜内支架置入术在主动脉夹层诊断和治疗中的应用价值  

The Diagnostic and Therapeutic Value of DSA and Endovascular Stent Placement (ES) in Aortic Dissection

作　　者：王学静[1] 贾广志[1] 尹华[1] 

机构地区：[1]内蒙古医学院附属医院介入放射科,内蒙古呼和浩特010050

出　　处：《内蒙古医学杂志》2004年第10期737-739,共3页Inner Mongolia Medical Journal

摘　　要：目的 :探讨数字减影血管造影 (DSA)和经皮带膜内支架置入术 (ES)在主动脉夹层诊断和治疗中的应用价值。方法 :通过对 12例主动脉夹层的血管造影进行分析 ,并与MRI及CT对照 ;3例行经皮带膜内支架置入术。结果 :DSA对主动脉夹层破口位置的显示优于MRI及CT ,对真假腔显示三者相近 ;3例经皮带膜内支架置入术患者中 ,2例Ⅲ型主动脉夹层患者术后腹主动脉真腔及其各分支血流基本得到恢复 ,症状完全消失。结论 :DSA是主动脉夹层诊断和治疗中重要的检查方法 ,经皮带膜内支架置入术是治疗Ⅲ型主动脉夹层安全有效的方法。Objective:To evaluate the clinical value of Digital substract angiography (DSA) and endovascular stent placement (ES) in the diagnosis and treatment of aortic dissection.Metheds:The DSA features of aortic dissection in 12 cases were analyzed compared with MRI and CT findings.Three cases were treated by endovascular stent placement.Results:DSA was superior to MRI and CT in demonstration of the entry of tear of aortic dissection,but similar to MRI and CT in showing the true and false lumen.The blood flow of aortic true lumen and branches in two cases treated by ES were resumed and the symptom.was disappered.Conclution:DSA is an important method of examination in diagnosis and treatment of aortic dissection.Endovascular stent placement is safe and effective therapeutic technique for type Ⅲ aortic dissection.

关 键 词：主动脉夹层 数字减影血管造影 支架术 

分 类 号：R814.43[医药卫生—影像医学与核医学] R814.47[医药卫生—放射医学]