多层螺旋CT血管成像对急性阻塞性肠系膜动脉缺血的诊断价值  

The value of multi-slice spiral CT angiography in diagnosis of acute mesenteric artery ischemia

作　　者：王鸿振[1] 王雪红[1] 李安源[1] 韩雪[1] 

机构地区：[1]哈尔滨医科大学附属第一医院CT室,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2010年第20期3889-3891,共3页Progress in Modern Biomedicine

摘　　要：目的:评价多层螺旋CT血管成像(MSCTA)对急性阻塞性肠系膜动脉缺血的诊断价值。方法:搜集12例急性阻塞性肠系膜动脉缺血的病例,全部行MSCTA检查,分析其影像学表现。结果:MSCTA能清晰显示肠系膜血管阻塞的部位、程度和范围,并能显示包括肠管扩张积液、肠管壁增厚、肠管壁积气和腹腔积液等征象。结论:MSCTA是诊断急性阻塞性肠系膜动脉缺血的一种快速,敏感、无创的影像学方法。Objective： To study the clinical value of multi-slice spiral CT angiography （MSCTA） in diagnosis of acute mesenteric artery ischemia. Methods： 12 patients with confirmed acute superior mesenteric artery ischemia were retrospectively reviewed and studied. Multi-slice spiral CT angiography were performed in all cases. Results： MSCTA showed the obstructed position, range and degree of the involved mesenteric artery clearly. In addition, the indirect CT signs including dilated and accumulate intestinal lumens, thickening and pneumatosis of the involved lumens walls as well as ascites were detected. Conclusion： MSCTA was one of the fast,effective and non-invasive imaging modalities for the early diagnosis of acute mesenteric artery ischemia.

关 键 词：肠系膜血管闭塞 体层摄影术 X线计算机 血管造影术 

分 类 号：R814.42[医药卫生—影像医学与核医学]