在患有急性大动脉内壁血瘤的患者中,通过64行多探测器计算机断层扫描检测内脏缺陷
Takeshi Kitai1, Shuichiro Kaji, Atsushi Yamamuro
1Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.
Circulation
|September 14, 2011
概括
急性大动脉内壁血瘤 (IMH) 中的内膜缺陷很常见,并通过MDCT检测到. 这些缺陷,特别是更深层次的缺陷,预示着进展,需要密切跟踪.
科学领域:
- 心血管成像 - 心血管成像
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 内体缺陷与急性大动脉内壁血瘤 (IMH) 有关.
- 之前的研究表明,亲密缺陷和IMH病理之间存在联系.
研究的目的:
- 用MDCT确定IMH患者内脏缺陷的患病率.
- 评估与IMH内缺陷相关的临床结果.
主要方法:
- 对38名IMH患者进行64行MDCT的回顾性分析.
- 内部缺陷的定义是内部层的连续性破坏.
- 对B型IMH患者临床结果的评估.
主要成果:
- 在71%的IMH患者中发现了内体缺陷.
- 缺陷发生率没有受到MDCT时间的显著影响.
- 在76%的B型IMH病例中,内部缺陷 (≥5毫米深度) 预测了进展 (动脉瘤).
结论:
- 在急性IMH中,MDCT经常检测出亲密缺陷,甚至在早期.
- 内体缺陷与不良的临床结果有关,包括进展.
- 患有IMH和内脏缺陷的患者需要通过串行成像进行警监测.
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