NGHIÊN CỨU ĐẶC ĐIỂM HÌNH ẢNH CỦA SIÊU ÂM VÀ CHỤP CẮT LỚP VI TÍNH 64 DÃY ĐẦU DÒ TRONG CHẨN ĐOÁN PHÌNH ĐỘNG MẠCH CHỦ BỤNG

Abstract

36 patients with abdominal aortic aneurysm were diagnotised by arterial doppler ECHO and 64 slide CT scaner from oct, 2012 to oct, 2013. Rate of the patients with abdominal aortic aneurysm was 83.3% in male and almost in elders above 60 years old. Risk factors were often smoking, hypertension; 69,4 % patients hospitalized ducing to abdominal pain. Almost of enlarged areas had inside diameter ≤ 5 cm (50 % by ECHO and 55.5 % by 64 side CT scaner); Posterior - lateral diameter ≤ 5 cm (52.7 % by ECHO and 58.4 % by 64 side CT scaner); The enlarged areas (had length from 6 - 10 cm) were highest rate (61.1 % by ECHO and 58.3 % by 64 side CT scaner). Abdominal aortic aneurysms were often associated with arteroscleroses and calcifications (75 % by ECHO and 80.6 % by 64side CT scaner) and 5.6 % cases associated ocupture. Rate of enlarged areas having thrombus was very high ( 88.8 % by ECHO and 91.7 % by 64 side CT scaner). There was compatibility (with Kappa score > 70%) between. parametes of enlarged areas valued by ECHO and by 64 side CT scaner in the patients with abdominal aortic aneurysm (p < 0.001).