论文部分内容阅读
目的:探讨多层螺旋CT血管成像在自发性孤立性肠系膜上动脉夹层(SISMAD)患者中的诊断价值以及不同分型的自发性孤立性肠系膜上动脉夹层的治疗策略。方法:回顾性分析2011-02-2014-01收治的12例SISMAD患者的临床资料及随访,根据CTA及DSA进行分型,探讨各型夹层的治疗方法及预后。结果:12例患者中,6例保守治疗成功,6例行介入治疗。手术患者未出现并发症,所有患者均在出院前腹痛消失。结论:CTA能直观显示SISMAD的位置,长度及病变程度,可作为诊断及随访本病的无创、准确及快速的检查方法。血管介入技术能够迅速解除夹层对动脉血流的影响,是一种新型的微创治疗方法。
Objective: To investigate the diagnostic value of multislice CT angiography in patients with spontaneous solitary superior mesenteric artery dissection (SISMAD) and the treatment strategies of different types of spontaneous solitary superior mesenteric artery dissection. Methods: The clinical data and follow-up of 12 patients with SISMAD who were admitted from February 2011 to January 2014 were retrospectively analyzed. According to the classification of CTA and DSA, the treatment methods and prognosis of various types of dissection were discussed. Results: Of the 12 patients, 6 were conservatively treated and 6 received interventional therapy. Surgery patients did not appear complications, all patients disappeared before discharge. Conclusion: CTA can directly display the location, length and degree of SISMAD. It can be used as a noninvasive, accurate and rapid method for diagnosis and follow-up of this disease. Vascular intervention can quickly relieve the impact of dissection on arterial blood flow, which is a new minimally invasive treatment.