摘要:
目的:对比分析急诊主动脉夹层应用多层螺旋CT和超声心动图诊断的应用价值。方法:选取2014年12月至2016年12月我院收治的经CT血管显像确诊的急诊主动脉夹层患者61例,对所有患者临床治疗进行回顾性分析。所有患者均通过超声心动图检查和多层螺旋CT平扫,对比分析两组诊断结果。结果:所有61例主动脉夹层患者中,总体异常61例,主动脉瓣异常41例,主动脉弓部异常44例,胸、腹主动脉异常45例,冠状动脉异常6例。多层螺旋CT诊断的总体异常、胸、腹主动脉异常以及冠状动脉异常诊断率均为100%,相比于超声心动图的91.8%、86.7%及0.0%更高,差异有统计学意义(P<0.05);两组在主动脉瓣异常、主动脉弓部异常诊断率之间的差异无统计学意义(P>0.05)。结论:超声心动图在诊断主动脉夹层时具有无创性、可重复性,且操作简便,能够对诊断主动脉弓部异常、DebakeyⅠ型主动脉瓣具有较高准确性。而多层螺旋CT相比于超声心动图具有更大优势,可进一步准确诊断胸、腹主动脉分支异常和冠状动脉异常等,具有更高临床诊断价值。
Abstract:
Objective: To compare the value of the application of multi-slice spiral CT and echocardiography in the diagnosis of emergency aortic dissection. Methods: From December 2014 to December 2016, 61 patients with acute aortic dissection diagnosed by CT angiography in our hospital were retrospectively analyzed. All patients were examined by echocardiography and multi-slice spiral CT, and comparative analysis of two groups of diagnostic results. Results: Of all 61 patients with aortic dissection, 61 had a general abnormality, 41 had aortic valve abnormalities, 44 had aortic arch abnormalities, 45 had abnormal thoracic and abdominal aorta, and 6 had coronary artery abnormalities. The diagnosis of thoracic and abdominal aorta abnormalities and coronary artery abnormalities were 100.00%, which were 91.80%, 86.67% and 0.00% higher than those of echocardiography, the difference was statistically significant (P < 0.05). There was no significant difference between the two groups in the diagnosis of aortic valve abnormalities and aortic arch abnormalities (P > 0.05). Conclusion: Echocardiography in the diagnosis of aortic dissection is non-invasive, reproducible, and easy to operate. It can be used for the diagnosis of aortic arch abnormalities, Debakey type I aortic valve with high accuracy. Multi slice spiral CT has more advantages than echocardiography, which can be used to diagnose the abnormal branches of thoracic and abdominal aorta, coronary artery anomalies and so on.
百度学术
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