主动脉夹层的影像学诊断  

Diagnosing Aortic Dissection with Doppler Echocardiography

作　　者：刘会玲[1] 宋立刚[1] 白雪[1] 才佳梅[1] 

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《河北医学》2007年第8期950-952,共3页Hebei Medicine

摘　　要：目的:探讨不同影像学检查方法对主动脉夹层的诊断价值。方法:将26例主动脉夹层患者的超声检查(TTE),X线平片,CT,MRI,血管造影检查结果汇总分析。结果:X线平片提示性阳性率69%(18/26);超声检查阳性率77%(20/26),检测出破裂口16例,检出率62%。CT阳性率92%(24/26)检测出破裂口8例,检出率31%。超声结合CT阳性率100%(26/26),检测出破裂口20例,检出率77%。心血管造影4例,4例阳性,4例检出破口;MR I检查6例,6例阳性,5例检出破口。结论:超声检查和CT扫描是诊断主动脉夹层最快捷实用的影像学检查手段,二者结合可提高主动脉夹层的阳性诊断率及破裂口检出率。Objective： To investigate the value of different image analysis in diagnosing aortic dissection. Method： The result of TTE, plain film radiography , CT , MRI and angiography of 26 patients with aortic dissection were analyzed. Result： The non - specificity masccline rate of plain film radiography is 69% （18/26）. The masccline rate of sonography is 77% （20/26） , of which 16 were detected crevasses and detection rate is 62%. CT masccline rate is 92% （24/26） with 8 cases were detected crevasses and detection rate is 31%. Sonography combined with CT masccline rate is 100% （26/26） , of which 20 were detected crevasses and detection rate is 77%. cardiac angiography is 4 cases ,with 4 masccline and 4 cases were detected crevasses. MRI check is 6 cases with 6 masccline and 5 cases were detected crevasses. Conclusion： Sonography and CT scanning are the quickest and most practical means to diagnose aortic dissection. The two combined method can improve diagnosing aortic dissection and detection rate of crevasse.

关 键 词：主动脉夹层 超声检查 血管造影检查 

分 类 号：R543.1[医药卫生—心血管疾病]