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通过闪烁扫描法和超声检查法诊断主动脉瘤(作者译)

[Diagnosis of aortic aneurysm by scintigraphy and ultrasonography (author's transl)].

作者信息

Caillé G, Chatal J F, Tellier J L, Talmant C, Guihard R

出版信息

J Radiol. 1981 Oct;62(10):497-507.

PMID:7320975
Abstract

Angioscintigraphy, performed on 50 patients suspected of aortic aneurysm and complemented by abdominal ultrasonography in 31 cases, disclosed: -- Three cases of thoracic aortic aneurysm, 2 of which were confirmed by arteriography and surgery. It was impossible to perform surgery in the third case, no arteriography was done. Strict agreement with standard thoracic images had made the angioscintigraphic diagnosis seem correct. -- Twenty-seven cases of abdominal aortic aneurysms confirmed by arteriography or surgery. Ultrasonography disclosed an abdominal aortic aneurysm in 26 cases, 20 of which were confirmed. The agreement of the two procedures in 10 unconfirmed cases (6 positive and 4 negative diagnoses) led us to consider the diagnosis as correct. Angioscintigraphy appears to be a reliable procedure for detecting thoracic and abdominal aortic aneurysms. Ultrasonography is the simplest and least costly procedure for study of abdominal aortic aneurysms.

摘要

对50例疑似主动脉瘤患者进行了血管闪烁造影检查,其中31例辅以腹部超声检查,结果显示:——3例胸主动脉瘤,其中2例经动脉造影和手术证实。第3例无法进行手术,未做动脉造影。与标准胸部影像的严格相符使血管闪烁造影诊断看似正确。——27例腹主动脉瘤经动脉造影或手术证实。超声检查发现26例腹主动脉瘤,其中20例得到证实。两种检查方法在10例未确诊病例(6例假阳性和4例假阴性诊断)中的一致性使我们认为诊断正确。血管闪烁造影似乎是检测胸主动脉瘤和腹主动脉瘤的可靠方法。超声检查是研究腹主动脉瘤最简单、成本最低的方法。

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