多层螺旋CT血管成像、数字减影血管造影在主动脉夹层中的诊断价值研究  

The diagnostic value of multi-slice spiral CT angiography and digital subtraction angiography in aortic dissection

作　　者：刘锴 

机构地区：[1]湖北省第三人民医院放射科,湖北武汉430033

出　　处：《医学前沿》2025年第3期8-9,共2页Frontiers of Medicine

摘　　要：目的:探讨在主动脉夹层中应用多层螺旋CT血管成像、数字减影血管造影的诊断价值。方法:本研究选择94例疑似主动脉夹层患者为观察对象,分别进行多层螺旋CT血管成像、数字减影血管造影检测。结果:多层螺旋CT血管成像的分支受累、破口数和内膜瓣检出率高于数字减影血管造影,P<0.05;多层螺旋CT血管成像和数字减影血管造影的检测参数和诊断效能对比,均为P>0.05。结论:在主动脉夹层诊断期间,多层螺旋CT血管成像、数字减影血管造影的诊断价值无明显差异,但前一方法的分支受累、破口数和内膜瓣检出率较高,可优先考虑。Objective:To evaluate the diagnostic value of multi-slice spiral CT angiography and digital subtraction angiography in aortic dissection.Methods:In this study,94 patients with suspected aortic dissection were selected as the observation objects,and multi-slice spiral CT angiography and digital subtraction angiography were respectively detected.Results:The branch involvement,the number of laceration and the detection rate of intimal flap in multi-slice spiral CT angiography were higher than those in digital subtraction angiography(P<0.05).The detection parameters and diagnostic efficiency of multi-slice spiral CT angiography and digital subtraction angiography were both P>0.05.Conclusion:During the diagnosis of aortic dissection,there is no significant difference in the diagnostic value of multi-slice spiral CT angiography and digital subtraction angiography,but the former method has higher branch involvement,laceration number and intima flap detection rate,so it can be given priority.

关 键 词：多层螺旋CT血管成像 数字减影血管造影 主动脉夹层 诊断价值 

分 类 号：R54[医药卫生—心血管疾病]