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双源CT血管造影对主动脉壁内血肿的诊断价值

曹阿丹,郭海燕,武乐乐,贺汝东, 王冰, 武晓亮, 于团结, 曹辉

Chinese Imaging Journal of Integrated Traditional and Western Medicine（2017）

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Abstract
目的:探讨双源CT血管造影(DSCTA)对主动脉壁内血肿(IMH)的诊断价值.方法:选择36例临床诊断为IMH的患者,行DSCTA,利用多种后处理技术行主动脉全程重建并分析病变.结果:36例均获得满意图像,主动脉壁呈环形或新月形增厚,厚度5.5~18.0 mm,无破裂口及内膜片,未见"双腔"征象;其中Stanford A型7例,Stanford B型29例.结论:DSCTA对IMH的确诊、分类、分型及治疗方案的选择、疗效随访等具有重要的临床价值.
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