Computed Tomographic Angiography for Diagnosis of Peripheral Arterial Injury

使用電腦斷層血管攝影診斷周邊動脈損傷

林志明(Chih-Ming Lin) ； 黃介琦(Chieh-Chi Huang) ； 邱智弘(Mark Chih-Hung Chiu) ； 李俊達(Jiunn-Tat Lee) ； 孫宗伯(Tzong-Bor Sun) ； 鄭立福(Li-Fu Cheng) ； 林志文(Chih-Wen Lin) ； 簡守信(Sou-Hsin Chien)

《中華民國整形外科醫學會雜誌》 16卷2期 (2007/06) Pp. 115-120

https://doi.org/10.7096/JPSA.200706.0115

摘要

傳統上，對周邊血管受傷的常規檢查仍是以血管造影法為主。電腦斷層血管造影的優點是可以在緊急狀況下，對周邊血管受傷與其周邊的軟組織和骨骼的受傷情況提供一個清楚的影像。在2001年和2002年之間，一共有6個周邊血管受傷的病患以三維的電腦斷層血管造影重建圖像來作診斷和追蹤。年紀從24到78歲。其中兩個涉及了橈動脈，兩個股動脈，一個表淺顯動脈，和一個臂動脈。其原因包括了兩個刺傷，三個壓挫傷，和一個醫源性的傷害。其中四個病人接受治療及修補。二年以後，所有的病人都恢復了。早期診斷和適當的處理有利於避免局部缺血的問題。三維的電腦斷層血管造影對周邊血管受傷能夠提供一個精確診斷。

並列摘要

The use of the computed tomographic (CT) angiography for the peripheral vascular injury can contribute to a proper investigative process and an accurate diagnosis. The procedure of choice for the definite diagnosis is usually the conventional angiography. The CT angiography has the advantages of clear view of related soft-tissue and bony injuries and available on an emergency basis. Between 2001 and 2002, we reported 6 patients of peripheral arterial injuries diagnosed and followed up according to the reconstructed images of the three-dimensional spiral CT angiography. The age ranged from 24 to 78 years old. The injury involved two radial arteries, two femoral arteries, one superficial temporal artery and one brachial artery. The etiologies included two stabbing injuries, three crush injuries and one iatrogenic origin. The arterial injuries were explored and repaired in four patients. After two-year follow-up, all patients recovered uneventfully without any complications. Early diagnosis and appropriate treatment are favorable to avoid complications of the limb ischemia following the vascular injury. The CT angiography offers a good choice for the accurate diagnosis of the peripheral arterial injury.

並列關鍵字

CT angiography ； TAE ； aneurysm