64排螺旋CT血管造影对主动脉夹层的诊断价值

The Value of 64-slice Spiral CT Angiography in Diagnosing Aortic Dissection

目的:研究64排螺旋CT血管造影对主动脉夹层的诊断价值。方法:回顾性分析我院2009年至2011年上半年,经64排螺旋CT诊断为主动脉夹层的病例10例,其中6例经DSA证实诊断并治疗。结果:CT诊断Stanford B型6例,Stanford A型4例。Stanford B型6例均行介入腔内支架封堵术,术后分型诊断与CT完全符合。Stanford A型4例,临床认为不适合行介入手术支架治疗,经内科保守治疗,未行手术治疗。结论:64排螺旋CT血管造影不仅能准确地诊断主动脉夹层动脉瘤,而且能正确地分型及指导治疗。

Objective：To investigate the value of 64-slice spiral CT angiography in diagnosing aortic dissection. Methods：Retrospective analysis 10 cases of aortic dissection in 2009 to 2011 first half,all diagnose by 64-slice spiral CT angiography,and 6 cases Treatment by DSA.Results：CT results,6 cases were classified with Stanford type B,and 4 cases with Stanford type A.Six cases of Stanford B type treated by aortic endovascular repair of stent-graft.Postoperative classification are full compliance with CT.Four cases of Stanford type A are considered by Clinical unsuitable for Interventional procedures,conservative treatment,no surgical.Conclusion：The 64-slice spiral CT angiography not only a good diagnosis method of aortic dissection,but also can type correctly,guide treatment.