[1]郝伟丽,申 静,张学敬,等.主动脉弓形态与胸主动脉瘤形成相关性分析[J].介入放射学杂志,2022,31(02):135-138.
 HAO Weili,SHEN Jing,ZHANG Xuejing,et al.Correlation between aortic arch morphology and thoracic aortic aneurysm formation: a clinical study[J].journal interventional radiology,2022,31(02):135-138.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年02
页码:
135-138
栏目:
血管介入
出版日期:
2022-02-25

文章信息/Info

Title:
Correlation between aortic arch morphology and thoracic aortic aneurysm formation: a clinical study
作者:
郝伟丽 申 静 张学敬 李彩英 高不郎
Author(s):
HAO Weili SHEN Jing ZHANG Xuejing LI Caiying GAO Bulang.
Department of Medical Research, Shijiazhuang Municipal People’s Hospital, Shijiazhuang, Hebei Province 050011, China
关键词:
【关键词】 胸主动脉瘤 主动脉弓宽度 主动脉弓高度 主动脉弓角 形态学
文献标志码:
A
摘要:
【摘要】 目的 测量胸升主动脉瘤(ATAA)、胸降主动脉瘤(DTAA)患者心脏、主动脉弓形态学参数,探讨胸主动脉瘤形成与主动脉形态学改变的相关性。方法 纳入2016年3月至2017年9月在石家庄市人民医院及合作医院接受胸主动脉CTA检查的199例患者,其中ATAA组患者46例,DTAA组患者35例,无主动脉病变正常对照组患者118例。Amira软件重建CTA图像后,分别测量心形角度,心形高度,主动脉弓宽度、高度、角度等形态学参数,比较ATAA组、DTAA组患者与对照组形态学参数的差异。结果 单因素分析结果显示,ATAA组、DTAA组弓宽和弓高均大于对照组(P<0.01),ATAA组弓角小于对照组(P=0.028);logistic回归分析显示,弓角是ATAA、DTAA发生的保护因素(b<0,P<0.05),弓宽是危险因素(b>0,P<0.01);受试者工作特征曲线(ROC)分析显示,弓宽、弓高对胸主动脉瘤形成有良好预测价值。结论 主动脉弓部形态学改变是胸主动脉瘤形成后的重要特征。弓角较大不利于胸主动脉瘤发生,弓宽、弓高可能成为胸主动脉瘤影像学诊断的预测指标。

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备注/Memo

备注/Memo:
(收稿日期:2020- 11- 17)
(本文编辑:边 佶)
更新日期/Last Update: 2022-02-21