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目的探讨64排螺旋CT(MSCT)血管成像(CTA)在主动脉病变诊断及临床治疗的应用价值。方法对32例有主动脉病变的患者行MSCT血管成像。结果 32例主动脉CTA三维重建后,动脉粥样硬化的14例合并穿透性溃疡3例,动脉瘤7例,壁间血肿3例、典型夹层动脉瘤8例。所有病变的形态、大小、破口位置均显示清楚。部分病例在其指导下成功的进行了介入治疗或外科手术治疗。结论 64排CTA检查速度快,一次完成胸腹主动脉扫描,图像质量完全可以满足临床诊断需要。
Objective To investigate the value of 64-slice spiral CT (MSCT) angiography (CTA) in diagnosis and clinical treatment of aortic lesions. Methods 32 patients with aortic lesions MSCT angiography. Results Thirty-two patients with atherosclerosis complicated with penetrating ulcer, seven aneurysms, three intracortical hematomas, and eight typical dissecting aneurysms were reconstructed in 32 patients with aortic CTA. All lesions in the shape, size, location of the break are clear. In some cases under the guidance of its successful intervention or surgical treatment. Conclusion 64 rows of CTA examination speed, a complete thoracoabdominal aortic scan, the image quality can fully meet the needs of clinical diagnosis.