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目的探讨头臂型大动脉炎的临床表现和影像学特点。方法回顾性分析37例头臂型大动脉炎病例资料和影像学资料。结果临床表现以双上肢无力、发冷疼痛、头晕、头痛、黑朦等为主。B 超与 DSA 结果符合率达90%(27/30)。MRI/MRA 与DSA 符合率达83.3%(10/12)。B 超、MRI/MRA 在显示血管壁病变方面优于 DSA。结论根据临床表现,结合 B 超、彩色多普勒超声技术、MRI 的 SE 序列和动态增强 MRA 从各个不同方面检测病变血管,联合应用,可以全面准确诊断大动脉炎病变程度。
Objective To investigate the clinical manifestations and imaging features of the armpit-aortitis. Methods A retrospective analysis of 37 cases of aortic arteritis cases and imaging data. Results The clinical manifestations of the upper limb weakness, cold pain, dizziness, headache, darkness and other mainly. B-ultrasound and DSA results in line with the rate of 90% (27/30). The coincidence rate of MRI / MRA and DSA was 83.3% (10/12). B ultrasound, MRI / MRA in the display of vascular wall lesions better than DSA. Conclusion According to the clinical manifestations, combined with B ultrasound, color Doppler ultrasound, MRI SE sequence and dynamic enhanced MRA detection of vascular lesions from different aspects, combined application can be a comprehensive and accurate diagnosis of aortic arteritis lesions.