肾动脉瘤多层螺旋CT的筛查与诊断.pdfVIP

274 中国厂矿医学2∞8 年6 月第21 卷第3 期 Chinese Medicine of Factory and Mine ,June 2∞8 ， Vol. 21 ,No. 3 肾动脉瘤多层螺旋 CT 的筛查与诊断 杨静 (西安 141 医院影像科 陕西省西安市 71∞89) [摘要1 目的评价多层螺旋CT 在肾动脉瘤筛查与诊断中的价值。方法 从诊断报告系统中搜查所有进行腹部增强扫描的 病例，以肾动脉瘤为检索词迸行检索。结果 在862 例进行腹部增强扫描病例中检出6 例肾动脉瘤，检出率0.7%0 6 例均为单发，5 例位于肾动脉主子及一级分支，1 例位于二级分支，瘤体直径1. 5 - 3.4 cm o 5 例为囊样扩张，1 例为梭形。所有病例未见附壁血栓形 成，1 例见动脉瘤壁广泛钙化。横断面成像确立诊断3 例，另 3 例为增加了容积再现及最大密度投影重组后确立诊断。结论 多层螺 旋口在肾动脉瘤的检出及术前评价中具有重要价值，容积再现及最大密度投影重组是显示肾动脉瘤的主要方法。 [关键词1 肾功脉;动脉瘤;X 线计算机，体层摄影术 中固分类号:R543.5 R814.42 文献标识码头文章编号:1 ∞4-7956(2∞8)03 -0274 -02 scr回皿ing and diagn帽is of multi-slice spiral CT to renal artery aneuηsm YANG Ji略. Depa时ment 0/ Medicallmaging ,Xían 141 H呻， ital ， Xian 71∞89 ， China [Abs阳ct) 0时ective To 皑白ss the value of multi - slice spiral CT (MSCT) in diagnosing and screening renal art町ane町sm.Me也­ ods A screening of renal arte可 aneu巧sms in our diagnostic report system w且 performed. All cas回 underwent ∞ntrast enhanced CT scan of ar- terial phase. Results Six patients with renal art町aneurysms were detected in overall862 cases , detection rate was O. 7%. All of renal art町 aneu巧sms were solitary , and located in the main trunk or the first branches of renal 町tery. Aneurysms diameters were from 1. 5 to 3. 4 cm. Five cas国 with aneu巧3ms were saccular; One case w且 fusiform. No underl抖ng thromb曲is w剧团en in all aneu巧sms. One cw号e had extensive calci- fication. 币lree c田es were diagnosed using transection images , and others were displayed by the volume rendering and maximum intensity projec- tion im略目. Conclusions MSCT h且 an important role in detecting and 皑白ssing renal arte可 aneu巧sm. Post-processing techniques such 曲 volume rendering and maximum intensity projection 阻n help detect renal artery aneu巧sms. [Key words) Renal artery; Ane町sm; Computer , tomo，伊phy