影像学检查在带膜支架治疗主动脉瘤及夹层中的临床应用  

Imaging evaluation and clinical application of imageology in treatment of aortic aneurysm and dissection

作　　者：童玉云[1] 王家平[1] 李迎春[1] 闫东[1] 袁曙光[1] 杨青[1] 姜华[1] 王雪刚[1] 

机构地区：[1]昆明医学院第二附属医院DSA室,云南昆明650101

出　　处：《中国现代普通外科进展》2010年第4期280-283,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:对主动脉瘤患者术前、后的多种影像学检查结果进行综合评价,为治疗(特别手术)和估计预后提供可靠影像学信息。方法:对102例采用带膜支架血管内置入治疗主动脉瘤及夹层的超声、MRI、CT、DSA检查结果进行分析,并评价其临床应用价值。结果:超声、CT、MRI诊断的灵敏度分别为82.6%、98.0%和97.5%,特异度分别为98.2%、100%和100%。结论:超声、CT、DSA、MRI在诊断主动脉瘤及夹层各有优势,选择合适的检查方法有助于快速诊断和定位。Objective：To evaluate the imaging changes of patients with aortic aneurysm before and after the operation,and provide information for treatment and prognosis.Methods：Analyzed the imaging results with ultrasound,MRI,CT and DSA detection of 102 patients with aortic aneurysm or dissection who were treated by covered stent,and evaluated the clinical value of this operation.Results：The sensibility of ultrasound,MRI and CT were 82.6%,98.0%and 97.5%,and the specificity of these detections were 98.2%,100%and 100%.Conclusion：Exactly imaging evaluating is critical to diagnosis and a successful operation.Ultrasound,MRI,CT and DSA have their own advantages in diagnosing aortic aneurysm and dissection,choosing the best imaging method is critical to a fast diagnos is and successful operation.

关 键 词：带膜支架 腔内隔绝术 主动脉瘤 胸 动脉瘤 夹层 

分 类 号：R732.21[医药卫生—肿瘤]