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[腹主动脉瘤的当前诊断要点]

[The current diagnostic aspects of abdominal aortic aneurysms].

作者信息

Kazanchian P O, Portnoĭ L M, Arablinskiĭ A V, Roslov A L, Demidov I N

出版信息

Grud Serdechnososudistaia Khir. 1993(2):11-5.

PMID:8329223
Abstract

Based on diagnostic data in 35 patients with abdominal aortic aneurysm, which were obtained during ultrasonic scan echography, X-ray computed tomography and radioopaque angiography, and on their comparison with intraoperative findings, a diagnostic algorithm for examinations has been developed, which enables errors in the diagnosis to be excluded. The major diagnostic technique for abdominal aortic aneurysms has been found to be X-ray computed tomography which provided no errors in the assessment of the extent of aneurysms and the presence of their complicating components in all 35 patients. In high aneurysms of the abdominal aorta and suspected stenoses in the visceral, renal, and iliac arteries, X-ray computed tomography should be supplemented by radioopaque angiography to clarify the status of aortic branches.

摘要

基于35例腹主动脉瘤患者在超声扫描、X线计算机断层扫描和不透射线血管造影检查过程中获得的诊断数据,并将这些数据与术中发现进行比较,开发出一种检查诊断算法,该算法可排除诊断中的错误。已发现腹主动脉瘤的主要诊断技术是X线计算机断层扫描,在所有35例患者中,该技术在评估动脉瘤范围及其并发成分的存在方面均未出现错误。对于腹主动脉高位动脉瘤以及内脏、肾和髂动脉疑似狭窄的情况,应在X线计算机断层扫描的基础上补充不透射线血管造影,以明确主动脉分支的状况。

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