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	Stanford B型主动脉壁内血肿伴有溃疡样病变CT随访研究
	罗朝峰 ; 刘东 ; 张晓玮 ; 刘晶哲 ; LUO Chaofeng ; LIU Dong ; ZHANG Xiaowei ; LIU Jingzhe
	2016-03-30 ; 2016-03-30
关键词	主动脉 壁内血肿 溃疡样病变 体层摄影术 X线计算机 Ultrasonography Ultrafast imaging Shear wave elastography Ultrasonography,Doppler Contrast media R543.1
其他题名	Prognosis of ulcerlike projections accompanying stanford B acute aortic intramural hematoma
中文摘要	目的:探讨Stanford B型急性主动脉壁内血肿(IMH)伴有溃疡样病变(ULP)的多层螺旋CT(MDCT)表现及其转归。方法:回顾性分析16例Stanford B型急性IMH伴有ULP患者的64层螺旋CT增强扫描影像学资料,观察ULP的位置、大小及随访结果。16例患者中,男性11例,女性5例,年龄49~86岁(平均68.1岁),16例患者均为保守治疗,随访时间3~12个月(平均6.1个月)。结果:16例ULP均为单发,3例ULP位于主动脉弓凹面,9例ULP位于胸主动脉,4例ULP位于腹主动脉,深度为2~9.5mm(平均3.9mm),所有的ULP边缘光整,无钙化,8例(50%)ULP保持稳定,4例(25%)减小或吸收,3例(18.8%)增大,1例(6.2%)进展为主动脉瘤。结论:Stanford B型IMH合并ULP较为常见,出现ULP并非都为预后不良征象,该类患者需要影像学的密切随访。; Objective:The purpose of this study was to investigate the clinical outcome of ulcerlike projections( ULP) accompanying Stanford B acute aortic intramural hematoma( IMH). Methods: We retrospectively analyzed 16 patients( 11 male,5 female,49-86 years old,average 68. 1) with Stanford B acute IMH accompanied by ULP in whom 64-row MDCT was performed,the location,size and follow-up results of ULP was recorded. Results: Sixteen cases all had single ULP lesion. 3 lesions were located at the concavity of aortic arch,9 lesions were located at thoracic aorta,and 4 lesions were located at abdominal aorta. The depth of the lesions was between 2 to 9. 5 mm( average 3. 9 mm). 8( 50%) lesions showed stable,4( 25%) lesions showed decrease or regression,3( 18. 8%) lesions showed enlargement,and 1( 6. 2%) lesion progressed to aortic aneurysm. Conclusion: Stanford B acute IMH accompanied by ULP was frequently encountered at multidetector CT. Not all of ULPs were associated with a poor prognosis,but patients with ULP should be carefully followed up with serial CT scans.
语种	中文 ; 中文
内容类型	期刊论文
源URL	[http://ir.lib.tsinghua.edu.cn/ir/item.do?handle=123456789/147299]
专题	清华大学
推荐引用方式 GB/T 7714	罗朝峰,刘东,张晓玮,等. Stanford B型主动脉壁内血肿伴有溃疡样病变CT随访研究[J],2016, 2016.
APA	罗朝峰.,刘东.,张晓玮.,刘晶哲.,LUO Chaofeng.,...&LIU Jingzhe.(2016).Stanford B型主动脉壁内血肿伴有溃疡样病变CT随访研究..
MLA	罗朝峰,et al."Stanford B型主动脉壁内血肿伴有溃疡样病变CT随访研究".(2016).

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