探究主动脉CTA诊断主动脉夹层合并肺动脉栓塞的价值

To explore the aorta CTA in the diagnosis of aortic dissection with the value of pulmonary embolism

目的：分析对于主动脉夹层合并肺动脉栓塞患者实施主动脉CTA检查的诊断价值。方法：选择2015年6月至2016年12月我院接收的20例主动脉夹层合并肺动脉栓塞患者为研究对象．回顾性分析其主动脉CTA检查结果，全面分析影像学特点。结果：患者均为非急性期夹层病变。有12例患者为慢性主动脉夹层，8例为亚急性病变。就肺栓塞发生位置来看，右侧肺动脉4例，左侧肺动脉主干2例，剩余14例发生在右侧和左侧肺动脉分支中。结论：对于主动脉夹层合并肺动脉辁塞患者实施主动脉CTA双联扫描，在观察患者主动脉病变情况时候，兼顾肺动脉，可以在一定程度上提升肺栓塞检出率，此项检查可指导治疗方案制定，值得进一步推广。

Objective ：To analysis for aortic dissection with the diagnostic value of pulmonary embolism patients implement aorta CTA inspection.Methods： on June 6, 2015- December 2016, our hospital received 20 patients with aortic dissection with pulmonary embolism as the research object, the aorta CTA results were retrospectively analyzed, a comprehensive analysis of imaging characteristics.Results： all patients for the acute phase lesions. There are 12 patients for chronic aortic dissection, 8 cases of suhacute lesions. For pulmonary embolism position, right pulmonary artery in 4 cases, 2 cases of left pulmonary artery trunk, remaining 14 cases happened in right and left pulmonary artery branch.Conclusion： For aortic dissection with pulmonary embolism in patients with aorta CTA duplex scanning, in observing aortic disease in patients with pulmonary artery, give attention to two or morethings can improve pulmonary embolism detection rate to a certain extent, the inspection can be guided treatment, worthy of further promotion.