血管内覆膜支架植入术治疗B型主动脉壁内血肿：术后MDCT随访  

MDCT following-up of type B aortic intramural hematoma after endovascular stent-graft treatment

作　　者：常宗平[1] 蒋世良[1] 吕滨[1] 胡海波[1] 禹纪红[1] 

机构地区：[1]北京协和医学院中国医学科学院阜外心血管病医院放射科,北京100037

出　　处：《中国医学影像技术》2012年第8期1509-1512,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的通过MDCT定期随访,评估血管内覆膜支架植入术(ESGT)治疗Stanford B型主动脉壁内血肿(IMH)的效果。方法回顾性分析接受ESGT治疗的17例B型IMH患者的资料。术后随访中,对所有患者行2次以上主动脉MDCT检查。结果 17例经ESGT治疗的B型IMH患者中,6例血肿完全吸收,9例明显吸收,2例血肿部分吸收。随访过程中无死亡病例,无并发症出现。结论 ESGT治疗B型IMH安全有效;MDCT可以作为重要的影像学随访方法。Objective To evaluate the role of endovascular stent-graft treatment （ESGT） /or type B aortic intramural he- matoma （IMH） through MDCT following-up. Methods Seventeen patients with type B IMH treated with ESGT were ret- rospectively analyzed. During following-up, all patients underwent MDCT examination more than two times. Results Af- ter ESGT, complete regression （n= 6）, significant absorption （n=9） and part absorption （n=2） of type B IMH were ob- served. During the following-up, no death nor complications occurred. Conclusion ESGT for type B IMH is safe and ef- fective. MDCT can be used as an important imaging method for following-up of type B IMH patients after ESGT.

关 键 词：壁内血肿 血管内覆膜支架植入术 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学] R543.1[医药卫生—放射医学]