2010Practical Journal of Cardiac Cerebral Pneumal and Vascular DiseaseRequires access

64-Slice Spiral CT Diagnosis of 37 Cases of Aortic Dissection

Lisha Wang

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Abstract

Objective To explore the diagnosis value of 64-slice spiral CT and multi-planar reconstruction technique in aortic dissection (AD).Methods According to the standard classification of DeBaKey,CT data of 37 cases of confirmed AD patients in our hospital by clinical examination were analyzed.Results 37 cases of aortic dissection CT can clearly show different densities of true and false lumen,intimal between true and false lumen,intimal tear location and extension of the scope of the true lumen dissection.5 cases of typeⅠ(13.5%),2 cases (5.4%) of Ⅱ type,30 cases of Ⅲ type.Aanother 4 cases (10.8%) were within the limitations of aortic branch artery dissectionceliac artery in 2 cases (5.4%),superior mesenteric artery and left renal artery in 1 case (2.7%).Conclusion 64 slice spiral CT can be the first diagnosis methods of AD inspection.However,DeBaKey standard is not perfect,should be improved.

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What this paper is about

Objective To explore the diagnosis value of 64-slice spiral CT and multi-planar reconstruction technique in aortic dissection (AD).Methods According to the standard classification of DeBaKey,CT data of 37 cases of confirmed AD patients in our hospital by clinical examination were analyzed.Results 37 cases of aortic dissection CT can clearly show different densities of true and false lumen,intimal between true and false lumen,intimal tear location and extension of the scope of the true lumen dissection.5 cases of typeⅠ(13.5%),2 cases (5.4%) of Ⅱ type,30 cases of Ⅲ type.Aanother 4 cases (10.8%) were within the limitations of aortic branch artery dissectionceliac artery in 2 cases (5.4%),superior mesenteric artery and left renal artery in 1 case (2.7%).Conclusion 64 slice spiral CT can be the first diagnosis methods of AD inspection.However,DeBaKey standard is not perfect,should be improved.

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Available abstract

Objective To explore the diagnosis value of 64-slice spiral CT and multi-planar reconstruction technique in aortic dissection (AD).Methods According to the standard classification of DeBaKey,CT data of 37 cases of confirmed AD patients in our hospital by clinical examination were analyzed.Results 37 cases of aortic dissection CT can clearly show different densities of true and false lumen,intimal between true and false lumen,intimal tear location and extension of the scope of the true lumen dissection.5 cases of typeⅠ(13.5%),2 cases (5.4%) of Ⅱ type,30 cases of Ⅲ type.Aanother 4 cases (10.8%) were within the limitations of aortic branch artery dissectionceliac artery in 2 cases (5.4%),superior mesenteric artery and left renal artery in 1 case (2.7%).Conclusion 64 slice spiral CT can be the first diagnosis methods of AD inspection.However,DeBaKey standard is not perfect,should be improved.

Key concepts: Medicine, Aortic dissection, Radiology, Superior mesenteric artery, Lumen (anatomy), Dissection (medical), Artery, Aorta

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