【摘要】 目的 评价多层螺旋CT血管成像(MSCTA)对感染性主动脉假性动脉瘤的诊断价值。方法 收集本院经微生物学检查证实的感染性主动脉假性动脉瘤3例,详细记录其临床资料和MSCTA征象。结果 3例患者主要症状为胸痛,发热,2例伴咯血。1例病原体为伤寒沙门菌,2例病原体为结核分枝杆菌。本组3例病灶均为单发,呈偏向一侧的囊袋样凸起;1例位于升主动脉,2例位于胸主动脉,并形成主动脉-支气管瘘;瘤腔内血栓形成1例,脓肿形成1例。2例行外科手术治疗,1例行腔内修复术。结论 MSCTA能直观立体显示感染性主动脉假性动脉瘤的特征性征象。更多还原

【Abstract】 Objective To evaluate the value of MSCTA in diagnosing infectious aortic pscudoancurysm.Methods 3 patients with infectious aortic pscudoancurysm confirmed by microbial detection were collected in our hospital.The clinical data and MSCTA manifestations were recorded in detail.Results The 3 patients’ main symptoms were chest pain and fever,two cases also had hemoptysis.The pathogen was Salmonella typhi(one case) and M.tuberculosis(two cases).Each case had only one lesion,which manifested as a sacculatc saddlebacking protruding to one sidc.One lesion located in ascending aorta,two in thoracic aorta and aortobronchial fistulas were formed.Intralumen thrombus and abscess was formed in one case,respectively.Of the three cases,two underwent surgical operation and one received endovascular repair.Conclusion MSCTA could visually and steroscopically display the specific signs of infectious aortic pscudoancurysm.更多还原