主动脉粥样硬化性溃疡的16层CT诊断  

Application study of 16-slice spiral CT in diagnosing atherosclerotic ulcer of the aorta

作　　者：董海波[1] 李晖[1] 王波[1] 罗雪芬[1] 朱海东[1] 刘亚萍[1] 陈意敏[1] 

机构地区：[1]浙江省宁波市医疗中心李惠利医院放射科,浙江宁波315041

出　　处：《中国临床医学影像杂志》2008年第4期247-249,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨应用16层螺旋CT诊断主动脉粥样硬化性溃疡的价值。方法:分析15例经16层螺旋CT诊断为主动脉粥样硬化性溃疡,14例以急性主动脉综合征就诊,1例以慢性病史就诊。观察溃疡的大小、形态、深度、数量及周围结构关系等。结果:单发溃疡12例,多发溃疡3例;14例急性患者均伴发范围较广泛的主动脉壁内血肿,其中10例合并中量以上血性胸腔、纵隔及心包积液,而1例慢性患者仅为局限的假性动脉瘤,不合并壁内血肿及血性积液等。结论:16层螺旋CT能够对主动脉粥样硬化性溃疡作出准确诊断,可作为急诊首选检查方法。Objective： To investigate 16-slice spiral CT in diagnosing atherosclerotic ulcer of the aorta. Methods： Fifteen patients with atherosclerotic ulcer of the aorta, who underwent 16-slice spiral CT, were studied retrospectively. Of the 15 patients, 14 patients had acute aortic syndromes, 1 patient with other chronic diseases. More attention was put on the size, shape, depth, number and adjacent structure of the atherosclerotic ulcer. Results： Twelve patients had 1 lesion, 3 patients had multiple lesions. Fourteen patients with acute aortic syndromes had fairly long intramural hematoma and 10 patients with middle pleural, mediastinal, pericardial effusion; however 1 patient with other chronic diseases had local pseudoaneurysm without intramural hematoma and effusion. Conclusion： 16-slice spiral CT is of high value in diagnosing atherosclerotic ulcer of the aorta and may be the first choice diagnostic device for emergency.

关 键 词：溃疡 主动脉疾病 体层摄影术 X线计算机 

分 类 号：R543.1[医药卫生—心血管疾病] R573.1[医药卫生—内科学]