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[核磁共振断层扫描在诊断肾下腹主动脉瘤中的价值。与超声检查、计算机断层扫描和血管造影的比较]

[Value of nuclear magnetic resonance tomography in diagnosis of infrarenal abdominal aortic aneurysms. Comparison with sonography, computerized tomography and angiography].

作者信息

Rieber A, Wrazidlo W, Brambs H J, Allenberg J R

机构信息

Abt. Radiodiagnostik, Universität Heidelberg.

出版信息

Digitale Bilddiagn. 1990 Sep-Dec;10(3-4):101-5.

PMID:2085938
Abstract

15 patients with asymptomatic abdominal aortic aneurysms were evaluated with magnetic resonance imaging. The results were compared to the sonographic findings in 12, the computed tomographic in 14 and the angiographic findings in 14 cases. 14 patients were operated and the diagnostic results were verified. The advantage of MRI in comparison with the other diagnostic methods is the visualization of an infrarenal segment on the coronal images, which can be anastomized with the vascular prosthesis. The evidence of this segment is important to know for the vascular surgeon to plan the operation technique. The disadvantage of MRI ist that thrombotic material and arteriosclerotic plaques were bad or not visualized. We try to estimate, which importance the MRI will get in further times in the preoperative diagnosis of abdominal aortic aneurysms.

摘要

对15例无症状腹主动脉瘤患者进行了磁共振成像评估。将结果与12例患者的超声检查结果、14例患者的计算机断层扫描结果以及14例患者的血管造影结果进行了比较。14例患者接受了手术,并验证了诊断结果。与其他诊断方法相比,MRI的优势在于能在冠状位图像上显示肾下段,该段可与血管假体进行吻合。血管外科医生了解该段的情况对于规划手术技术很重要。MRI的缺点是血栓物质和动脉粥样硬化斑块显示不佳或无法显示。我们试图评估MRI在未来腹主动脉瘤术前诊断中的重要性。

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