CT血管成像在闭合性动脉损伤中的应用
宋晓飞;林月秋;徐永清;黄若昆;阮默;丁晶;刘峰
【期刊名称】《中华创伤骨科杂志》 【年(卷),期】2009(011)001
【摘要】Objective To assess CT angiography applied in clinical diagnosis of closed vascular injury.Methods A retrospective analysis was conducted to investigate the 24 cases of closed vascular injury who had been diagnosed by CT angiography from July 2005 to September 2007 in our hospital.Results CT angiography could accurately determinate the severity and location of closed arterial rupture and collateral circulation conditions.It revealed arterial occlusion in 16 cases, intra-luminal defects in 6 cases, and Pseudo-aneurysm in 2 cases.Surgical explorations for 20 patients found complete rupture of artery in 6 cases, incomplete rupture in 9 cases, endomembrane injury in 5 cases, and thrombosis in 4 cases.Of them, 12 cases received end-to-end anastomosis, 4 cases primary repair, and 4 cases saphenous vein transplantation.The postoperative blood circulation was normal.No functional abnormality was found in the followed-up for the 4 cases who had undergone conservative therapy due to fine collateral circulation.Conclusion CT angiography is valuable in diagnosing vascular injury and should be indicated for patients with suspicious vascular injury.%目的 探讨闭合性动脉损伤的机制、特点,以及64排CT血管
CT血管成像在闭合性动脉损伤中的应用
