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目的:探讨急诊超声心动图与多层螺旋CT(即TTE与MSCT)用于主动脉夹层患者诊断中的临床效果。方法:采用回顾性分析的方式将来我院收治的主动脉夹层的患者64例临床资料进行分析,患者先后行经胸超声心动图诊断与多层螺旋CT诊断,探讨两种诊断方式的诊断效果。结果:除联合检测与MSCT心包积液检出率无显著差异(p>0.05),两种方式联合诊断主动脉夹层的准确率、分型、破裂口与心包积液检出率显著高于单独应用TTE或MSCT,差异显著具有统计学意义(p<0.05)。结论:针对主动脉夹层的诊断采用急诊超声心动图与多层螺旋CT联合诊断,不仅能够对该病准确诊断,而且能够对主动脉夹层有效分型,对破裂口、心包积液的检出也很有帮助,在临床上推广普及很有价值。
Objective: To investigate the clinical effect of emergency echocardiography and multi-slice spiral CT (TTE and MSCT) in the diagnosis of aortic dissection. Methods: The clinical data of 64 patients with aortic dissection admitted to our hospital were retrospectively analyzed. The patients underwent transthoracic echocardiography and multi-slice spiral CT to diagnose the diagnosis results of the two diagnostic methods. Results: The detection rates of pericardial effusion and fluid pericardial effusion were significantly higher than those of the other two methods alone (p> 0.05) Using TTE or MSCT, the difference was statistically significant (p <0.05). Conclusion: The diagnosis of aortic dissection using emergency echocardiography combined with multi-slice spiral CT diagnosis can not only accurately diagnose the disease, but also the effective classification of the aortic dissection, the detection of rupture of the mouth, pericardial effusion also Very helpful, very popular in clinical popularization.