Head and Neck Imaging

Multi-slice Spiral CT in Diagnosis of Abdominal Pseudoaneurysm Value

Author:LUO Xian-bin

affiliation:Institute of North Sichuan Medical College Clinical 2. Nanchong Central Hospital, Nanchong 637000, Sichuan Province, China

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Abstract

Objective Using multi-slice CT (MSCT) diagnosis of abdominal pseudoaneurysm (VAPA) the clinical value and significance. Methods Retrospective analysis of our hospital from January 2013 toDecember 2014 suspected abdominal pseudoaneurysm in patientsadmitted in 42 cases, Patient checks for MSCT scanning, And diagnosed by DSA, Observation of MSCT diagnosis accuracy of VAPA and features. Results MSCT in 42 patients were positive for 37 cases, Tumor location in abdominal aorta (81.08%),Tumor size in 5-10cm (56.76%).VAPA clinical manifestations were abdominal pain, nausea,vomiting, pulsatile abdominal mass, MSCT scan VAPA appear uneven density.Use of MSCT diagnosis of abdominal pseudoaneurysm with DSAdiagnosis compared, MSCT test and the gold standard testmethods (DSAinspection) to VAPA results showed nosignificant difference (P>0.05). VAPA MSCT diagnosissensitivity of 100%, a specificity of 83.33%, the positive predictive value of 94.59%, and negative predictive value of100%. Conclusion MSCT is more visually effective showing characteristics of MSCT, the clinical diagnosis and is of great value, andclinical implementation.

【Keyword】Multi-slice Spiral CT; Abdominal Pseudoaneurysm; Diagnosis

【Chart number】R826.65

【Document Identification Number】A

【DOI】10.3969/j.issn.1672- 5131.2017.01.035