多层螺旋CT 血管成像对主动脉瘤诊断的临床价值.pdf

cI|:1671-8631(2010)11-0815-02CT5?5N陆重元(宜兴市第二人民医院,江苏宜兴214221)K1:)CT5(MSCTA)/?5#NbZE:21?uCT9,VE(SSD)aKvgE(MIP)agE(MPR)aC(VR)mybT:SSDaMPRVb#AUhM,?vlaSa=#s1,iAUgbMIPVAU55C?Sa,hMViy4,b#AU?=agbMPR?AUCaC?L8=b:MSCTA/?hM4BVLm,51ilb1oM?；5/；8；XL9ms|:R445DSM:BTheclinicalvaluesofmulti-slicespiralCTangiographyindiagnosisofaorticaneurysmsLUZhong-yuan(TheSecondPeoplesHospitalofYixingCity,Yixing214221,China)AbstractObjective:Toevaluatetheclinicalvaluesofmulti-slicespiralCTangiography(MSCTA)indiagnosingaorticaneurysms.Methods:Twenty-onepatientswithaorticaneurysmswereperformedbyspiralCTangiography,shadedsurfacedisplay(SSD),multiplanarreformation(MPR),maximumintensityprojection(MIP),volumerendering(VR)weresuedtoreconstructtheimageofaxialview.Results:SSD,MPRshowedthepanoramaofaorticlesion,extentandsizeofaneurysm,intimaeflakeandtherelationbetweenitandarterialbranches.Thelocationofcrevassewasshowed；MIPcouldshowthecalcificationandextendofaneurysm.Lesionwasreconstructedandobservedonanyangle.Theintratumorallythrombusandcrevassewasshowedclearly；MPRcoulddisplaythemuralthrombus,intimaeflakeandthetrueandfalsedissectinganeurysm.Conclusion:ThetechnologyofMSCTAforaorticaneurysmdiseasesprovidesasafeandreliablemeansofdiagnosis,clinicaltreatmenthasimportantsignificance.Keywordsaneurysm；angiography；tomography,X-raycomputed?1GL5/3h5/(DSA),(7_ZE,CT/?Z,SBv,4,Fv)?,5P?TCT_,yZL,q,PCT5(MSCTA)/?5LN1b1ZE1.1Bl5?#C21,(CT9b315,o6；M-21j78,(46b1.2CT_ZEF(GELightspeedUtra8-slicesCTNbS:2cm9s/Z2cmbHq:120kV,250mA,z0.75mm,y1.25mmbVd0/4Z?100mL,2.5j3.0mL/s,|Sm.T_),sYVE(SSD)aKvgE(MIP)agE(MPR)aC(VR)/yhMu45Ca58=(aC)a5ssf#F1b2T?15,?5,?10bmDSAL(sb=O),?8v,?85.2j10.5cm,Kv7.8cmbMIPMPRy/,VbAU?8#Sa?8a?C#?8CbC?6b+#y,C?z?aP/7g#6,hM#SVvbDeBakeysS,F6,1,5,h(b#AU(/836:)c815c5D0Ll2010M111911?3*,.ChM5-,vazM1X?3M,=?Xs,h$Xb#v*VC,4=M,14=ia#2M,T=v,7=iYa#2?3M,2M9,(V4Uv*VCbyN,2Uhh_N,7O2_7ayaeLab#HqUh?_,*?ChMb*te,a#*2_,L*a*,a3h?31ilbID:1左祥生,罗敏.DAC-PKC信号传导通路与DM血管并发症J.国外医学内分泌学分册,2000,20(3):127.2KallikazarosI,TsioufisC,SdierisS,etal.CarotidarterydiseaseasamarkerforthepresenceofservecoronaryarterydiseaseinpatientsevaluatedforchesepainJ.Stroke,1999,30:1002-1007.3WadaT,KodairaK,FujishiroK,etal.CarrelationofultrasoundmeasuredcarotidarterystiffnesswithpathologicalfindingsJ.ArteriosclerThromb,1994,14(3):427-488.4动脉功能临床研究协作组.中国健康人群动脉弹性功能参数研究J.中华心血管杂志,2003,31(4):245-249.5TaniwakiH,KawagishiT,EmotoM,etal.Correlationbetweentheintima-mediathicknessofthecartidarteryandaorticpulsewavevelocityinpatientswithtype2diabetesvesselwallpropertiesintype2diabetesJ.DiabetesCare,1999,22(11):1851-1857.l:2010-07-12Te:张苹芝(1963-),女,山西省朔州市人,学士学位,副主任医师,主要从事超声诊断工作。(815:)L8,8L8,L8vlAv8,8(sMN=,AU=g；MIP4AUCSa1sYfaC#58；MPRAU=g,=,VaL,VR5F4,AUhM5WbW1#hMZ5D3sb3)V?1GL5/DSA,(7_ZE,?AU5=fb?=C,P5/DSA4AUhMS,yNK5bC,CT?ZW5,5d?,54BayaV7sOq_m2,3bMSCTATCT5B/,yaqOVZ4+,7T,ZEe,i?M；BQ,S,HWbs)y/,?b#AUhMSaavls51,?HAU58=hM,CS#a5CaC?=aby?8aZ4hMSaas5sf#F1bM,5=OR?brT|%=ObT4,1p-?s5|sAU,#hMuLbBCTEhM8m,7DSA?|B=m,4QhMbMSCTA/Teaya7lai?+bMSCTA)mV84hMa=#s514b8MSCTA/,VMzAU?hM,?#1AU1N,4BVLmbID:1金征宇.多层螺旋CT影像诊断学M.北京:科技文献出版社,2009:37-69.2梁长虹,赵振军.多层螺旋CT血管成像M.北京:人民军医出版社,2008:122-187.3ChowLC,RubinGD.CTangiographyofthearterialsystemJ.RadiolClinNAm,2002,40:729.4AnmerdingMA,RubinGD,BeaulieuCF,etal.Aorticaneurismaldisease:assessmentofstent-grafttreatme