Thomson I A, Morrison N D, Packer S G, Van Rij A M
Department of Surgery, University of Otago Medical School, Dunedin, New Zealand.
Aust N Z J Surg. 1993 Jun;63(6):475-80. doi: 10.1111/j.1445-2197.1993.tb00431.x.
Computerized tomography (CT) now has a definite place in the assessment of aortic vascular disease. In a study of 96 patients with abdominal or thoracic aorto-iliac problems, CT proved most useful in the management of haemodynamically stable patients with abdominal aortic aneurysms that were suspected of leaking. The complex anatomy associated with thoracic and abdominal aneurysms and aortic dissection was clearly defined. The interpretation of scans on postoperative aortic graft patients was difficult and less often helpful. The incidental finding of aortic disease during abdominal scans for a variety of other indications was infrequent and seldom contributed to patient management. The indications for CT have become far more selective.
计算机断层扫描（CT）目前在主动脉血管疾病的评估中占有明确的地位。在一项对96例腹部或胸主动脉 - 髂动脉问题患者的研究中，CT在处理血流动力学稳定、怀疑有渗漏的腹主动脉瘤患者时被证明是最有用的。与胸主动脉瘤、腹主动脉瘤及主动脉夹层相关的复杂解剖结构得到了清晰的界定。对主动脉移植术后患者扫描结果的解读很困难，且帮助不大。在因各种其他指征进行腹部扫描时偶然发现主动脉疾病的情况并不常见，且很少对患者的治疗有帮助。CT的适应证已变得更具选择性。
