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肾动脉内膜抽离征区分Ⅰ、Ⅲ型主动脉夹层真假腔的临床应用价值

Renal Artery Intima Dissociation Sign to Distinguish from the True and False Lumen inⅠand Ⅲ Type of Aortic Dissection with Multi-slice Sprial CT Angiography
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摘要 目的:描述和评价肾动脉内膜抽离征以及该征象在Ⅰ、Ⅲ型主动脉夹层假腔诊断中的价值。方法:65例Ⅰ、Ⅲ型主动脉夹层(AD),经鸟嘴征,偏心性内膜钙化,蜘蛛网征,时间密度曲线及手术证实的AD假腔,回顾性观察肾动脉内膜抽离征及该征象在假腔中的发生情况。结果:65例Ⅰ、Ⅲ型AD中,肾动脉内膜抽离征共23例,肾动脉内膜断裂3例,未断裂20例,均位于假腔。结论:肾动脉内膜抽离征有助于Ⅰ、Ⅲ型AD假腔的诊断。 Objective: To describe and estimate the value of false lumen diagnosis ofⅠand Ⅲ type of aortic dissection by using renal artery intima dissociation sign.Method:65 examples of aortic dissection which are confirmed by beak sign,eccentric flap calcification,cobweb sign,time-density curve and surgical results,are observed by the character of renal artery intima dissociation and its occurrence in false lumen.Result:There were 23 cases of artery intima dissociation sign displayed inⅠand Ⅲ type aortic dissection,all in false lumen,while 3 cases with intima fracture and the other 20 cases had complete renal artery intima.Conclusion:The character of renal artery intima dissociation sign is helpful to diagnose the false lumen inⅠand Ⅲ type of aortic dissection.
机构地区 遂宁市中心医院
出处 《中外医学研究》 2017年第7期8-10,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 主动脉夹层 肾动脉内膜抽离征 体层摄影术 X线计算机 Aortic dissection Artery intima dissociation sign Tomography X-ray computer
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