Behcet综合征累及心血管系统的CT诊断  

Computed tomography diagnosis of cardiovascular involvement in Behcet syndrome

作　　者：支爱华[1] 戴汝平[1] 蒋世良[1] 吕滨[1] 张沛[2] 

机构地区：[1]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院放射科,北京100037 [2]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院心内科,北京100037

出　　处：《中华放射学杂志》2009年第6期608-611,共4页Chinese Journal of Radiology

摘　　要：目的探讨累及心血管系统的Behcet综合征影像特点及其诊断。方法搜集1995年7月至2007年12月临床诊断为Behcet综合征累及心血管系统患者11例的电子束CT（EBCT）或64层MSCT检查资料，回顾分析其CT影像特点。结果11例Behcet综合征患者的CT影像表现为：累及主动脉瓣4例（其中2例同时累及二尖瓣），右冠状动脉假性动脉瘤2例（其中1例同时形成右腋动脉假性动脉瘤，3．5年后无诱因出现腹主动脉假性动脉瘤），左锁骨下动脉假性动脉瘤1例（伴腹主动脉下段闭塞），主动脉弓部真性动脉瘤及溃疡1例，主动脉弓部假性动脉瘤1例，主动脉夹层1例，肺动脉栓塞伴房间隔瘤1例。结论CT作为Behcet综合征诊断及定期随访的检查手段，可明确心血管系统受累情况，根据其病变的影像特点，为选择临床治疗方法提供依据。Objective To evaluate the computed tomography （CT） characteristics of cardiovascular involvement in Behcet syndrome. Methods Eleven patients with clinically diagnosed Behcet syndrome were studied retrospectively from July 1995 to December 2007. Electron beam CT or 64-slice helical CT scanner was used and CT characteristics were reviewed. Results Eleven patients were diagnosed according to the criteria reported by the international study group for Beheet syndrome. Of them, 4 patients presented with aortic valve prolapse （2 patients with mitral valve prolapse ）, false aneurysm of right coronary artery was demonstrated in 2 patients, false aneurysm of left subclavian artery, aortic aneurysm and penetrating ulcers, aortic arch false aneurysm, aortic dissection, pulmonary embolism and interatrial septum aneurysm in 1 case, respectively. Conclusion CT is a very useful method for the diagnosis and follow-up of Behcet syndrome.

关 键 词：贝赫切特综合征 动脉瘤 主动脉瓣关闭不全 体层摄影术 X线计算机 

分 类 号：R442.8[医药卫生—诊断学] R972[医药卫生—临床医学]