探讨Revolution CT全身动脉CTA一站式扫描的临床应用价值

Clinical Application Value of One-Stop Scanning of Systemic Arterial CTA

目的研究Revolution CT在全身动脉CTA一站式扫描的必要性。方法回顾性分析我院应用Revolution CT行全身动脉CTA一站式联合扫描的15例患者,评价其冠状动脉、头颈动脉、主动脉及双下肢动脉各部位血管病变的情况。结果15例患者中13例患者为中老年患者,有不同病程的高血压、糖尿病病史,13例患者中4例发现大脑中动脉病变,其中2例患者合并大脑后动脉和基底动脉病变,其余9例患者中颅内动脉包括双侧大脑前、中、后动脉及基底动脉未发现明显病变;13例患者颈部动脉和主动脉均发现不同程度的多部位病变;11例患者双下肢动脉存在不程度、不同节段的病变,2例患者双下肢动脉未发现病变;12例患者冠状动脉存在不同程度的多支病变,1例患者未发现冠脉病变。2例患者为青年患者,有动脉炎病史,2例患者均发现颈部动脉及主动脉病变,颅内动脉及双下肢动脉未发现病变,其中1例患者存在冠状动脉病变,另外1例无冠状动脉病变。结论动脉粥样硬化、血管炎等是一种全身性疾病,往往存在多部位的血管病变,全身CTA一站式联合扫描能够全面、简便地评估全身动脉情况。

Objective To explore the clinical application value of one-stop scanning of systemic arterial CTA.Methods A retrospective analysis of 15 patients with one-stop combined scanning of systemic arterial CTA using the revolution CT in our hospital,evaluated the lesions of the coronary artery,craniocervical artery,aorta and lower extremity artery.Results 13 patients were middle-aged and elderly patients with different course of hypertension and diabetes.4 patients had middle cerebral artery disease,2 of whom had posterior cerebral artery and basilar artery disease,and the remaining 9 patients,no obvious lesions were found in the anterior,middle and posterior cerebral arteries of the intracranial arteries.13 patients multiple degrees of lesions were found in different degrees in the cervical artery and aorta.11 patients had pathological changes in both lower extremities and different segments.In 2 patients,no lesions were found in the lower extremity arteries.12 patients had different degrees of multi-vessel disease in the coronary arteries,and one patient did not find coronary lesions.The other 2 patients were young patients with a history of arthritis.2 patients were found to have cervical artery and aortic lesions.No lesions were found in the intracranial and lower extremity arteries.One patient had coronary artery disease and the other had no coronary artery disease.Conclusion Atherosclerosis and vacuities are a systemic disease.There are often multiple vascular lesions.The one-stop combined scan of the coronary artery,craniocervical artery,aorta and lower extremity artery can comprehensively and easily assess the systemic arteries.