Diagnosis of Aortic Artery Intramural Hematoma Using Multi-Slice Spiral Computed Tomagraphy
- VernacularTitle:主动脉壁内血肿的多层螺旋CT诊断
- Author:
Sujin GUO
;
Minwen ZHENG
;
Mingguo SHI
;
Hongliang ZHAO
;
Jian LI
;
Yi HUAN
- Publication Type:Journal Article
- Keywords:
aortic artery;
intramural hematoma;
CT
- From:
Chinese Medical Equipment Journal
1989;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the CT findings and guidance significance of multi-slice computed tomography(MSCT) in aortic intramural hematoma(IMH).Methods The clinical data and MSCT findings of 35 cases of aortic intramural hematomas diagnosed by MSCT with continuous volume scanning were analyzed.Results The direct signs of IMH were crescent or circular thickening of aortic wall without intimal flap and true and false lumens in all 35 patients.The indirect signs were penetrating ulcer(18 cases),calcification ingression(7 cases),atherosclerosis(16 cases)and single or bilateral pleural effusion(21 cases).The complicated signs were aneurysms(5 cases) and typical type B aortic dissection(3 case).Conclusion MSCT is a fast and noninvasive examinational technique,by which the direct,indirect and complicated signs of aortic IMH can be clearly revealed.All these signs have important guidance values for clinical diagnosis and management.
