64层螺旋CT动脉成像的临床应用  

Clinical Application of 64-slice Spiral CT Angiogrpahy

作　　者：何杰[1] 李石玲[1] 彭志刚[1] 魏培建[1] 陈勇[1] 

机构地区：[1]河北医科大学第三医院CT/MRI室,河北石家庄050051

出　　处：《实用放射学杂志》2008年第1期101-103,106,共4页Journal of Practical Radiology

摘　　要：目的探讨多层螺旋CT血管造影在动脉血管方面的应用价值。方法回顾性分析用64层螺旋CT血管造影检查165例患者的影像资料。结果28例头颈部CTA发现动脉粥样硬化狭窄及阻塞14例,动脉瘤5例,动静脉瘘1例,大动脉炎1例,肿瘤压迫1例;38例肺动脉CTA发现肺动脉栓塞21例;32例主动脉CTA发现动脉粥样硬化14例,主动脉夹层8例,动脉瘤1例,大动脉炎1例,动静脉瘘1例;40例肾动脉CTA发现4例血管变异(副肾动脉),狭窄15例,先天性变细3例,血肿压迫1例;27例四肢动脉CTA发现动脉硬化6例,动脉损伤9例,外伤后动静脉瘘及动脉狭窄各1例,肿瘤致血管受压3例。结论多层螺旋CT血管造影对全身各部位动脉病变诊断有重要的临床应用价值。Objective To evaluate the clinical application of multi - slice spiral CT angiography（ MSCTA）. Methods Imaging data of 64 - slice spiral CT angiography in 165 cases were retrospectively analyzed. Results 28 cases underwent CTA of head and neck, 14 with ath- eromatous stenosis and occlusion ,5 with aneurysm, 1 with arteriovenous fistula, 1 with large arteritis and 1 with vascular pressure due to tumor were found. 38 cases underwent CTA of lung,there were 21 with embolism. 32 cases received CTA of aorta,there were 14 with atheromatous, 8 with aortic dissection, 1 with aneurysm, 1 with large arteritis and 1 with arteriovenous fistula. 40 cases received CTA of renal arteries,there were 4 cases with congenital subrenal arteries, 15 with arterial stenosis ,3 with congenital thinning and 1 with hematoma pressure. 27 cases underwent CTA of extremity arteries,6 with atheromatous stenosis,9 with damage,1 with arteriovenous fistula and stenosis after trauma respectively and 3 with vascular pressure due to tumor were found. Conclusion MSCTA plays an important role in diagnosis of arterial lesions in the whole body.

关 键 词：体层摄影术 X线计算机 血管造影术 动脉 

分 类 号：R814.42[医药卫生—影像医学与核医学] R814.43[医药卫生—放射医学]