脾动脉瘤

此外，还检出副肝静脉2例，脾动脉瘤1例。

Two accessory hepatic veins and a splenic aneurysm were detected , respectively .

多层螺旋CT三维重建在脾动脉瘤诊断中的价值

Multi-Slice CT : Value of Three Dimensional Reconstruction in the Diagnosis of Splenic Artery Aneurysms

目的：阐述脾动脉瘤的CT血管造影（CTA）表现，分析多层CT的诊断价值。

Objective : To study the features of splenic artery aneurysms ( SAA ) in CT angiography ( CTA ) and to evaluate the diagnosis value of multi-slice CT .

目的探讨脾动脉瘤的彩色多普勒血流显像（CDFI）表现及其诊断价值。

Objective To evaluate the appearances of splenic artery aneurysms with color Doppler flow imaging ( CDFI ) and to determine the diagnostic value .

方法多层螺旋CT腹部检查发现5例脾动脉瘤，均经DSA证实。其中4例为腹部常规扫描模式所发现，1例行血管成像检查，扫描参数与常规扫描模式参数相同。

Methods Multi slice CT was performed in 5 patients with splenic artery aneurysms confirmed by DSA , 4 of them underwent with abdomen routine scan protocol , and one dual phase angiography with the same scan protocol and reconstruction parameters .

CDFI诊断准确率88.2%（15/17），1例误诊为左侧肾上腺肿瘤；1例多发脾动脉瘤的2个瘤体中，超声诊断1个，漏诊1个。

The accurate diagnostic rate was 88.2 % ( 15 / 17 ), one was misdiagnosed as adrenal gland tumor , and another patient had two aneurysms , one of them was diagnosed by CDFI , another was missed .

1例脾动脉瘤栓后部分脾梗塞，未予特殊治疗。

No special treatment was given to one patient with partial spleen infarct after embolization .

结论脾动脉瘤多数单发，且多位于脾动脉远段。

Conclusions Splenic artery aneurysm were most solitary and located in the distal third of the splenic artery .

结果在15例脾动脉瘤患者中，单发13例，多发2例（各2个瘤体），共17个瘤体。

Results Fifteen cases with 17 splenic artery aneurysms , 13 cases were solitary , 2 cases were multiple .

结果27例脾动脉瘤中伴动脉粥样硬化12例，门静脉高压症9例，胰腺炎2例，外伤2例，肌纤维发育不良及细菌性心内膜炎所致各1例。

[ WT5HZ ] Results [ WT5BZ ] Of the 27 patients , 12 had atherosclerosis , 9 portal hypertension , 2 pancreatitis and 1 fiber dysplasia and bacterial endocarditis .

方法回顾性分析4例肾动脉瘤、2例肠系膜上动脉瘤、3例脾动脉瘤和2例肝动脉瘤的CDFl特征，所有病例均经X线血管造影检查证实。

Methods A total of 11 cases with aneurysms : renal artery aneurysm in 4 cases , superior mesenteric artery ( in 2 ), splenic artery ( 3 ) and hepatic artery ( 2 ) . They were evaluated by means of CDFI , and confirmed by X-ray angiography .

胰腺炎后脾动脉假性动脉瘤1例

False aneurysm of splenic artery after pancreatitis : case report