摘要
目的分析CTA对于诊断外伤性四肢动脉损伤的效果。方法选择笔者医院2017年7月—2019年7月收治的70例外伤性四肢动脉损伤患者作为研究对象,给予计算机断层扫描血管成像(computed tomography angiography,CTA)扫描,分析诊断结果及相关影像学表现。结果70例患者包括动脉断裂42例,动脉闭塞10例,动脉狭窄7例,假性动脉瘤9例,动静脉瘘2例;其中58例术中所见与CTA结果比较显示,CTA对于动脉损伤部位、损伤程度与术中所见完全吻合,对于动脉血栓形成的诊断准确率为72.41%(42/58);余12例未进行比较分析。结论CTA对于外伤性四肢动脉损伤的诊断符合率高,可用于外伤患者血管损伤的筛查。
Objective To analyze the effect of CTA in the diagnosis of traumatic limb artery injury.Methods 70 cases of traumatic arterial injury of extremities admitted to our hospital from July 2017 to July 2019 were selected as the study subjects,and scanned by computed tomography angiography(CTA).The diagnostic results and related imaging manifestations were analyzed.Results There were 42 cases of arterial rupture,10 cases of arterial occlusion,7 cases of arterial stenosis,9 cases of pseudoaneurysm and 2 cases of arteriovenous fistula in 70 patients.The intraoperative findings of 58 patients were compared with those of CTA.The location and extent of CTA were in good agreement with the findings during operation.the diagnostic accuracy of CTA for arterial thrombosis was 72.41%(42/58),and the remaining 12 cases were not compared and analyzed.Conclusion CTA has high diagnostic value for traumatic arterial injury of extremities,which can be used as the first choice for thrombotic injury screening in traumatic patients.
作者
刘东胜
刘慧云
LIU Dong-sheng;LIU Hui-yun(Department of Radiology of First People's Hospital of Zhumadian City,Zhumadian,Henan 463000,China)
出处
《实用医药杂志》
2021年第3期209-211,共3页
Practical Journal of Medicine & Pharmacy