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目的探讨64排螺旋CT血管造影在主动脉壁内血肿诊断中的价值。方法对8例经64排螺旋CT血管造影确诊为主动脉壁内血肿的患者影像资料进行回顾性分析。结果 8例主动脉壁内血肿,1例为A型,7例B型。清晰显示主动脉壁内血肿部位、累及范围,是否合并内膜钙化移位及主动脉穿透性溃疡。结论 64排螺旋CT血管造影能清晰的显示主动脉壁内血肿,对于临床进行治疗方案的选择及术后随访具有重要的指导意义。
Objective To investigate the value of 64-slice spiral CT angiography in the diagnosis of intra-aortic hematoma. Methods A retrospective analysis was performed on the imaging data of 8 patients with aortic wall hematoma confirmed by 64-slice spiral CT angiography. Results 8 cases of aortic intramural hematoma, 1 case was type A, 7 cases of type B. Clearly show the aortic wall hematoma site, involving the scope of the merger with endometrial calcification and aortic transmural ulcer. Conclusion 64-slice spiral CT angiography can clearly show the intra-aortic hematoma, which has important guiding significance for clinical treatment options and follow-up.