摘要
目的探讨320排CT血管成像技术在主动脉病变腔内隔绝术后并发症诊断的应用价值。方法回顾性分析97例主动脉腔内隔绝术后患者320排CT影像资料,其中主动脉夹层75例,动脉瘤22例。由两名诊断医生分析图像,判断腔内隔绝术后主动脉夹层及主动脉瘤的转归及并发症情况。结果75例主动脉夹层患者中,5例出现支架旁内漏,发生率为6.7%。其中Ⅰ型内漏4例,Ⅱ型内漏1例。22例动脉瘤术后患者中,3例出现支架旁内漏,其中1例6个月后复查吸收;1例腹主动脉瘤支架术后,3个月后复查发现胸主动脉主动脉夹层。结论320排CT血管成像技术可以快速、准确、直观的展示主动脉腔内隔绝术后支架情况及并发症,可作为术后评估及随访复查的常规检查方法。
Objective To evaluate the value of 320-slice CT angiography in the diagnosis of complications after endovascular aortic repair.Methods Images with 320-slice CT of 97 patients after endovascular aortic repair were retrospectively analyzed,including 75 cases of aortic dissection and 22 cases of aortic aneurysm.Two doctors analyzed the images to determine the prognosis and complications of aortic dissection and aortic aneurysm after endovascular exclusion.Results Among 75 patients with aortic dissection,five cases(6.7%)with stent leakage occurred;and of them,four cases were type I and one case was type II.Among the 22 patients with aneurysms after operation,three cases had endoleaks,and one of them was re-examined and absorbed after six months.One case of abdominal aortic aneurysm underwent stenting,and thoracic aortic dissection was found three months later.Conclusion 320-slice CT angiography can quickly,accurately and intuitively display the stent status and complications after endovascular aortic repair.It can be used as a routine method for post-operative evaluation and follow-up review.
作者
方培璐
潘宇宁
黄求理
FANG Peilu;PANYuning;HUANG Qiuli(Ningbo No.1 Hospital, Ningbo 315010, Zhejiang, China)
出处
《现代实用医学》
2019年第5期579-581,I0001,共4页
Modern Practical Medicine
