结核动脉动脉瘤的CT成像表现
Xiaona Xing1, Zhonghua Sun2, Li Chen1
1Department of Neurology, The Third Affiliated Hospital of Shenzhen University, Shenzhen Luohu People's Hospital, 518000 Shenzhen, Guangdong, China.
结核性大动脉动脉瘤 (TBAA) 是结核病 (TB) 的罕见,致命的并发症. 这项研究详细介绍了CT扫描功能,以帮助早期诊断这些真菌性动脉瘤.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 心血管外科心血管外科
背景情况:
- 结核性大动脉动脉瘤 (TBAA) 是结核病 (TB) 的罕见且往往致命的并发症.
- 非特定的症状使得TBAA的早期诊断具有挑战性.
- 计算机断层扫描 (CT) 成像对于识别TBAA至关重要.
研究的目的:
- 要总结结结核动脉动脉瘤 (TBAA) 的计算机断层扫描 (CT) 特性.
- 帮助临床医生及时诊断TBAA.
- 通过早期检测来改善患者的治疗结果.
主要方法:
- 在2015年至2020年期间诊断出TBAA的17名患者的回顾性分析.
- 收集和分析临床,历史,实验室和成像数据.
- 所有患者都接受了CT血管造影.
主要成果:
- TBAA是位于胸腔或腹腔大动脉的伪动脉瘤.
- 常见的CT发现包括囊状/球状形状,化,内血栓和扩大的淋巴结.
- 相关发现包括结核性脊髓炎 (53%) 和psoas (29%).
结论:
- 在CT扫描中,TBAA通常以真菌性动脉瘤的形式呈现.
- 周围组织的感染和其他部位的并发性结核病是常见的.
- CT特征可以帮助早期诊断TBAA.
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