\u6768\u5e06\u8bd1 \u67f3\u78ca\u6821<\/p>\n
\u6cb3\u5317\u533b\u79d1\u5927\u5b66\u7b2c\u4e09\u533b\u9662\u5fc3\u810f\u5916\u79d1\u6587\u732e\u5b66\u4e60<\/p>\n
\u70b9\u51fb\u201c\u84dd\u5b57\u201d \u5173\u6ce8\u6211\u4eec\u5427\uff01 <\/p>\n
Hui Lin Wong\u4e28Saccular Kommerell aneurysm, a potential pitfall on MDCT imaging \u2013 A review of imaging features and potential mimics<\/p>\n
\u6458\u8981<\/p>\n
Kommerell\u52a8\u8109\u7624\u5728\u591a\u5c42\u87ba\u65cbCT\uff08MDCT\uff09\u6210\u50cf\u4e0a\u662f\u4e00\u4e2a\u6f5c\u5728\u7684\u8bca\u65ad\u9677\u9631\uff0c\u4e0e\u80f8\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u3001\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u548c\u6269\u5f20\u7684Kommerell\u61a9\u5ba4\u76f8\u7c7b\u4f3c\u3002\u51c6\u786e\u8bca\u65ad\u8fd9\u79cd\u75c5\u75c7\u5bf9\u4e8e\u6cbb\u7597\u8fd9\u79cd\u53ef\u80fd\u81f4\u547d\u7684\u75be\u75c5\u81f3\u5173\u91cd\u8981\u3002\u672c\u6587\u56de\u987e\u4e86Kommerell\u52a8\u8109\u7624\u53ca\u5176\u7c7b\u4f3c\u75c5\u75c7\u7684MDCT\u5f71\u50cf\u5b66\u7279\u5f81\uff0c\u5e76\u901a\u8fc74\u4e2a\u75c5\u4f8b\u5c55\u793a\u4e86\u5982\u4f55\u505a\u51fa\u51c6\u786e\u7684\u8bca\u65ad\u3002\u672c\u6587\u8ba8\u8bba\u4e86\u8d77\u6e90\u4e8eKommerell\u61a9\u5ba4\u7684\u56ca\u72b6\u6216\u68ad\u72b6Kommerell\u52a8\u8109\u7624\uff0c\u6216\u4f34\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u548c\u9644\u58c1\u8840\u6813\u60c5\u51b5\u4e0b\u7684MDCT\u7279\u5f81\u3002<\/p>\n
1.\u524d\u8a00<\/p>\n
\u8ff7\u8d70\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109\u7ea6\u5360\u4eba\u7fa4\u76841%\uff0c\u800cKommerell\u61a9\u5ba4\u7ea6\u5360\u8ff7\u8d70\u9501\u9aa8\u4e0b\u52a8\u8109\u75c5\u4f8b\u768460%\uff0c\u56e0\u6b64\u8fd9\u4e24\u79cd\u60c5\u51b5\u5e76\u4e0d\u7f55\u89c1\u3002Kommerell\u61a9\u5ba4\u6700\u65e9\u4e8e1936\u5e74\u88ab\u5e7f\u6cdb\u7528\u4e8e\u63cf\u8ff0\u5de6\u4fa7\u4e3b\u52a8\u8109\u5f13\u4e2d\u7684\u8ff7\u8d70\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109\u8d77\u6e90\u5904\u7684\u61a9\u5ba4[1]\uff0c\u5c3d\u7ba1\u5b83\u4e5f\u53ef\u7528\u4e8e\u63cf\u8ff0\u8d77\u6e90\u4e8e\u5de6\u4fa7\u6216\u53f3\u4fa7\u4e3b\u52a8\u8109\u5f13\u7684\u8ff7\u8d70\u53f3\u6216\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u4e2d\u7684\u61a9\u5ba4\u3002\u8fd9\u79cd\u61a9\u5ba4\u7684\u52a8\u8109\u7624\u89c1\u4e8e3-8%\u7684\u5f71\u50cf\u5b66\u68c0\u67e5\u4e2d\uff0c\u901a\u5e38\u8868\u73b0\u4e3a\u8ff7\u8d70\u9501\u9aa8\u4e0b\u52a8\u8109\u8d77\u59cb\u5904\u61a9\u5ba4\u7684\u68ad\u5f62\u6269\u5f20\u6216\u61a9\u5ba4\u8f6c\u53d8\u4e3a\u56ca\u72b6\u52a8\u8109\u7624[2]\u3002Kommerell\u61a9\u5ba4\u7684\u52a8\u8109\u7624\u901a\u5e38\u7f29\u5199\u4e3aKommerell\u52a8\u8109\u7624\u3002\u5076\u5c14\uff0c\u5982\u4e0b\u75c5\u4f8b\u6240\u793a\uff0c\u56ca\u72b6Kommerell\u52a8\u8109\u7624\u53ef\u80fd\u4f1a\u751f\u957f\u5230\u8fd9\u6837\u7684\u5927\u5c0f\uff0c\u5927\u5230\u5b8c\u5168\u62b9\u53bb\u5176\u57fa\u672c\u61a9\u5ba4\u7684\u6b63\u5e38\u5916\u89c2-\u8fd9\u79cd\u7ed3\u6784\u5f88\u5bb9\u6613\u4e0e\u80f8\u964d\u4e3b\u52a8\u8109\u7684\u56ca\u72b6\u52a8\u8109\u7624\u6df7\u6dc6\u3002\u5728\u653e\u5c04\u5b66\u9605\u8bfb\u5ba4\u8fdb\u884c\u8fd9\u79cd\u533a\u5206\u7684\u6709\u4e24\u91cd\u610f\u4e49-Kommerell\u52a8\u8109\u7624\u548c\u80f8\u964d\u4e3b\u52a8\u8109\u7684\u56ca\u72b6\u52a8\u8109\u7624\u7684\u6cbb\u7597\u65b9\u6cd5\u4e0d\u540c\uff0cKommerell\u52a8\u8109\u7624\u503e\u5411\u4e8e\u7834\u88c2[3\uff0c4]\u3002\u9274\u4e8e\u6b64\uff0c\u672c\u6587\u65e8\u5728\u56de\u987eKommerell\u52a8\u8109\u7624\u53ca\u5176\u7c7b\u4f3c\u75c5\u75c7\u7684 MDCT \u5f71\u50cf\u7279\u5f81\uff0c\u5e76\u901a\u8fc7\u4e00\u7cfb\u5217\u75c5\u4f8b\u5c55\u793a\u5982\u4f55\u505a\u51fa\u51c6\u786e\u8bca\u65ad\u3002<\/p>\n
2.\u4e34\u5e8a\u8868\u73b0<\/p>\n
\u5927\u591a\u6570Kommerell\u52a8\u8109\u7624\u60a3\u8005\u9996\u8981\u8868\u73b0\u4e3a\u541e\u54bd\u56f0\u96be\u75c7\u72b6\uff0c\u5176\u6b21\u662f\u547c\u5438\u56f0\u96be\u548c\u80f8\u75db\u3002\u5f88\u5927\u4e00\u90e8\u5206\u60a3\u8005\u5b8c\u5168\u6ca1\u6709\u75c7\u72b6\u3002\u75c7\u72b6\u7531\u52a8\u8109\u7624\u7684\u4f4d\u7f6e\u548c\u8ff7\u8d70\u9501\u9aa8\u4e0b\u52a8\u8109\u7684\u8d70\u5f62\u51b3\u5b9a\uff0c\u6587\u732e\u4e2d\u5e7f\u6cdb\u63cf\u8ff0\u4e3a\u98df\u7ba1\u540e\uff0880%\uff09\u3001\u98df\u7ba1\u548c\u6c14\u7ba1\u4e4b\u95f4\uff0815%\uff09\u6216\u6c14\u7ba1\u524d\uff085%\uff09\u3002[8-13]\u3002<\/p>\n
2.1.\u6cbb\u7597\u7b56\u7565<\/p>\n
Kommerell\u52a8\u8109\u7624\u548cKommerell\u61a9\u5ba4\u901a\u5e38\u5206\u4e24\u671f\u5f00\u80f8\u624b\u672f\u4fee\u590d\uff0c\u5206\u671f\u5904\u7406\u964d\u4e3b\u52a8\u8109\u548c\u8ff7\u8d70\u9501\u9aa8\u4e0b\u52a8\u8109\u3002\u80f8\u964d\u4e3b\u52a8\u8109\u7684\u56ca\u72b6\u52a8\u8109\u7624\u901a\u5e38\u91c7\u7528\u4e00\u671f\u4eba\u5de5\u8840\u7ba1\u79fb\u690d\u6216\u5f00\u653e\u624b\u672f\u8fdb\u884c\u6cbb\u7597\u3002<\/p>\n
2.2.\u9884\u540e<\/p>\n
Kommerell\u52a8\u8109\u7624\u6613\u4e8e\u53d1\u751f\u7834\u88c2\u548c\u5939\u5c42\uff0c1989\u5e74\uff0cBenjamin Felson\u654f\u9510\u5730\u53d1\u73b0\uff0c\u5728\u8ff7\u8d70\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109\u7684Kommerell\u52a8\u8109\u7624\u4e2d\u53d1\u73b0\u4e86\u60ca\u4eba\u7684\u9ad8\u7834\u88c2\u53d1\u751f\u7387[4]\u3002\u5728\u75c5\u7406\u6807\u672c\u5df2\u53d1\u73b0\u6709\u7624\u58c1\u5f02\u5e38\uff0c\u4f8b\u5982\u9ad8\u8fbe50%\u7684\u75c5\u4f8b\u6709\u4e2d\u819c\u574f\u6b7b[28\uff0c29]\uff0c\u8fd9\u53ef\u80fd\u662f\u5bfc\u81f4\u8fd9\u79cd\u503e\u5411\u7684\u539f\u56e0\u3002\u7ea619%\u53d7\u5f71\u54cd\u7684Kommerell\u52a8\u8109\u7624\u75c5\u4f8b\u53d1\u751f\u7834\u88c2\uff0c\u5e76\u4e14\u51e0\u4e4e\u666e\u904d\u4e3a\u81f4\u547d\u6027\u3002\u56e0\u6b64\uff0c\u6709\u4eba\u5efa\u8bae\uff0cKommerell\u61a9\u5ba4\u5e94\u5728\u513f\u7ae5\u671f\u52a8\u8109\u7624\u6837\u6076\u6027\u8f6c\u5316\u4e4b\u524d\u5904\u7406\u3002\u7531\u4e8e\u5927\u578b\u52a8\u8109\u7624\u7684\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u8f83\u9ad8\uff0c\u4e00\u4e9b\u4f5c\u8005\u4e5f\u4e3b\u5f20\u5bf9\u76f4\u5f84\u5927\u4e8e3 cm\u7684Kommerell\u52a8\u8109\u7624\u8fdb\u884c\u624b\u672f\u3002<\/p>\n
2.3. Kommerell\u52a8\u8109\u7624\u7c7b\u4f3c\u75c5\u75c7<\/p>\n
\u653e\u5c04\u79d1\u533b\u751f\u7684\u4e3b\u8981\u4efb\u52a1\u662f\u51c6\u786e\u5730\u786e\u5b9a\u75c5\u60c5\u53ca\u5176\u6f5c\u5728\u7684\u5e76\u53d1\u75c7\uff0c\u5e76\u6392\u9664\u53ef\u80fd\u4e0e\u4e4b\u76f8\u4f3c\u7684\u5176\u4ed6\u7c7b\u4f3c\u7684\u4e3b\u52a8\u8109\u75c5\u53d8\u3002\u8fd9\u4e9b\u7c7b\u4f3c\u75c5\u75c7\u5305\u62ec\u7b80\u5355\u7684Kommerell\u61a9\u5ba4\u3001\u80f8\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u548c\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u3002<\/p>\n
\u533a\u5206\u8fd9\u4e9b\u8bca\u65ad\u5e76\u4e0d\u662f\u4e00\u4e2a\u5bb9\u6613\u7684\u8fc7\u7a0b\u3002\u5982\u88681\u6240\u793a\uff0c\u9700\u8981\u4ed4\u7ec6\u68c0\u67e5\u5f02\u5e38\u8840\u7ba1\u7684\u89e3\u5256\u548c\u7a81\u51fa\u7684\u5f62\u6001\uff0c\u4ee5\u53ca\u52a8\u8109\u7624\u9888\u90e8\u4e0e\u8ff7\u8d70\u9501\u9aa8\u4e0b\u52a8\u8109\u7684\u5173\u7cfb\u3002\u591a\u5e73\u9762\u91cd\u5efa\u548c\u4e09\u7ef4\u5bb9\u79ef\u91cd\u5efa\u5728\u8fd9\u4e9b\u60c5\u51b5\u4e0b\u53ef\u80fd\u975e\u5e38\u6709\u4ef7\u503c\u3002<\/p>\n<\/p>\n
Kommerell\u52a8\u8109\u7624\u3001Kommerell\u61a9\u5ba4\u548c\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u7684\u4e00\u4e2a\u91cd\u8981\u7684\u533a\u522b\u7279\u5f81\u662f\uff0cKommerell\u52a8\u8109\u7624\u5177\u6709\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u52a8\u8109\u7624\u7684\u5178\u578b\u5f71\u50cf\u7279\u5f81\uff0c\u5305\u62ec\u9499\u5316\u6591\u5757\u548c\u9644\u58c1\u8840\u6813\uff0c\u800c\u5728\u4e0d\u590d\u6742\u7684Kommerell\u61a9\u5ba4\u548c\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u4e2d\u4e0d\u5e38\u89c1\u6591\u5757\u548c\u8840\u6813\u3002\u4e0b\u9762\u6211\u4eec\u4ecb\u7ecd4\u4e2a\u75c5\u4f8b\uff0c\u501f\u4ee5\u8bf4\u660e\u79d1Kommerell\u52a8\u8109\u7624\u53ca\u5176\u7c7b\u4f3c\u75c5\u75c7\u7684\u5f71\u50cf\u5b66\u7279\u5f81<\/p>\n<\/p>\n
3.\u75c5\u4f8b<\/p>\n
3.1.\u6848\u4f8b1\uff1aKommerell\u52a8\u8109\u7624<\/p>\n
\u4e00\u540d78\u5c81\u7537\u6027\u66fe\u7ecf\u7684\u5438\u70df\u8005\u56e0\u80f8\u75db\u548c\u5fc3\u7535\u56feST\u6bb5\u62ac\u9ad8\u5728\u6025\u8bca\u79d1\u5c31\u8bca\u3002\u5fc3\u810f\u75c5\u56e2\u961f\u5bf9\u4ed6\u8fdb\u884c\u4e86\u68c0\u67e5\uff0c\u5e76\u8bca\u65ad\u4e3a\u6025\u6027\u5fc3\u808c\u6897\u6b7b\u3002\u5728\u5fc3\u5bfc\u7ba1\u68c0\u67e5\u672f\u8fc7\u7a0b\u4e2d\u89c2\u5bdf\u5230\u7eb5\u9694\u589e\u5bbd\uff08\u56fe1\uff09\uff0c\u4f7f\u7528320\u5c42\u5355\u5c42\u87ba\u65cb\u626b\u63cf\u4eea\uff08Aquapark ONE; Toshiba Medical Systems Corporation\uff0cTochigi\uff0cJapan\uff09\u884c\u80f8\u90e8\u95e8\u63a7CT\u626b\u63cf\uff1b\u6ce8\u5c04100 ml\u4f4e\u6e17\u9020\u5f71\u5242\u7898\u6d77\u9187\uff08Omnipaque 350\uff0cGE Healthcare Inc.\uff09\u4ee54 ml\/s\u7684\u901f\u5ea6\u6ce8\u5c04\uff0c\u7136\u540e\u6ce8\u5c0450 ml\u76d0\u6c34\u3002<\/p>\n
\u8be5\u68c0\u67e5\u53d1\u73b0\u8584\u5c42\u9ad8\u5bc6\u5ea6\uff0838\u4e2aHounsfield\u5355\u4f4d\uff09\u7684\u5fc3\u5305\u79ef\u6db2\uff0c\u63d0\u793a\u5fc3\u5305\u79ef\u8840\uff1b\u53ef\u89c1\u56ca\u6027\u52a8\u8109\u7624\u76f4\u5f84\u4e3a4.1 cm\uff0c\u5934\u8db3\u4fa7\u76f4\u5f84\u4e3a1.7 cm\uff0c\u7531\u5de6\u4f4d\u4e3b\u52a8\u8109\u5f13\u8ff7\u8d70\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109Kommerell\u61a9\u5ba4\u5f15\u8d77\uff08\u56fe2\uff09\u3002\u5347\u4e3b\u52a8\u8109\u548c\u80f8\u964d\u4e3b\u52a8\u8109\u76f4\u5f84\u6b63\u5e38\u3002\u62cd\u6444\u7684\u80f8\u7247\u663e\u53ef\u89c1\u7eb5\u9694\u589e\u5bbd\uff0c\u4f34\u53cc\u4fa7\u6c14\u7ba1\u65c1\u5706\u5f62\u548c\u5149\u6ed1\u7684\u8f6f\u7ec4\u7ec7\u5bc6\u5ea6\uff08\u56fe2a\uff09\u3002\u75c5\u4eba\u88ab\u8ba4\u4e3a\u4e0d\u9002\u5408\u624b\u672f\uff0c\u4e09\u5929\u540e\u6b7b\u4e8e\u4e00\u4e2a\u5176\u4ed6\u539f\u56e0\u3002\u5c38\u68c0\u8bc1\u5b9e\u4e86\u4e00\u4e2a\u8d77\u6e90\u4e8eKommerell\u61a9\u5ba4\u7684\u672a\u7834\u88c2\u7684\u52a8\u8109\u7624\u548c\u7ee7\u53d1\u4e8e\u5fc3\u808c\u6897\u6b7b\u7684\u5de6\u5fc3\u5ba4\u7834\u88c2\u3002<\/p>\n<\/p>\n<\/p>\n
\u5f71\u50cf\u5b66\u8868\u73b0-\u5728\u80f8\u90e8\u6b63\u524d\u4f4dX\u7ebf\u6444\u5f71\u4e2d\uff0c\u5f02\u5e38\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109\u8868\u73b0\u901a\u5e38\u4e3a\u4e0e\u5347\u4e3b\u52a8\u8109\u9876\u90e8\u8f6c\u6298\u5904\u5185\u4fa7\u7f18\u76f8\u6bd7\u90bb\u7684\u5411\u6c14\u7ba1\u53f3\u4fa7\u659c\u884c\u7684\u9ad8\u5bc6\u5ea6\u5f71 [4\uff0c35]\u3002\u5728\u4fa7\u4f4d\u7247\u4e0a\uff0c\u5b83\u53ef\u80fd\u8868\u73b0\u4e3aRaider\u4e09\u89d2\u524d\u4e0b\u65b9\u7684\u80bf\u7269[4\uff0c13]\u3002Kommerell\u61a9\u5ba4\u6216Kommerell\u52a8\u8109\u7624\u5177\u6709\u7c7b\u4f3c\u7684\u5916\u89c2\uff0c\u9664\u4e86\u52a8\u8109\u7624\u7684\u6295\u5f71\u663e\u5f97\u66f4\u5bbd\u5e76\u53ef\u80fd\u5bfc\u81f4\u6c14\u7ba1\u504f\u79fb[35\uff0c36]\u3002\u8840\u7ba1\u9020\u5f71\u53ef\u89c1\u7eb5\u9694\u589e\u5bbd\uff0c\u5982\u679c\u52a8\u8109\u7624\u8db3\u591f\u5927\uff0c\u7531\u4e8e\u80bf\u5757\u6324\u538b\u53ef\u89c1\u6c14\u7ba1\u504f\u79bb\u3002\u5728\u80f8\u90e8\u7684\u5bf9\u6bd4\u589e\u5f3aMDCT\u8868\u73b0\u4e0a\uff0c\u5982\u679cKommerell\u52a8\u8109\u7624\u7531\u52a8\u8109\u7ca5\u6837\u786c\u5316\u5bfc\u81f4\uff0c\u5219Kommerell\u52a8\u8109\u7624\u8868\u73b0\u4e3aKommerell\u61a9\u5ba4\u7684\u56ca\u72b6\u7a81\u51fa\u7269\uff0c\u5982\u4e0d\u662f\u5219\u8868\u73b0\u4e3a\u68ad\u5f62\u6269\u5f20\u7684Kommerell\u61a9\u5ba4\u3002\u68ad\u5f62Kommerell\u61a9\u5ba4\u52a8\u8109\u7624\u4e0e\u8ff7\u8d70\u9501\u9aa8\u4e0b\u52a8\u8109\u5728\u61a9\u5ba4\u7684\u70b9\u72b6\u5f00\u53e3\u5bfc\u81f4\u7684\u8ff7\u8d70\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u72ed\u7a84\u540e\u6269\u5f20\u76f8\u5173\u3002<\/p>\n
\u6559\u5b66\u91cd\u70b9-\u53ef\u80fd\u5f88\u96be\u533a\u5206\u56ca\u72b6Kommerell\u52a8\u8109\u7624\u548c\u6269\u5f20\u7684\u68ad\u5f62Kommerell\u61a9\u5ba4;\u6309\u7167\u60ef\u4f8b\uff0c\u6269\u5f20\u5927\u4e8e\u9884\u671f\u6b63\u5e38\u52a8\u8109\u76f4\u5f84\u76841.5\u500d\u5c06\u8ba4\u5b9a\u4e3a\u52a8\u8109\u7624[37]\u3002\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u548c\u9644\u58c1\u8840\u6813\u5728\u56ca\u72b6Kommerell\u52a8\u8109\u7624\u4e2d\u5f88\u5e38\u89c1\uff0c\u56e0\u4e3a\u8fd9\u4e9b\u5b9e\u8d28\u4e0a\u8d77\u6e90\u4e0e\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6709\u5173 [34]\u3002<\/p>\n
3.2.\u75c5\u4f8b2\uff1aKommerell\u61a9\u5ba41\u4f8b<\/p>\n
\u7537\u6027\uff0c68\u5c81\uff0c\u80f8\u90e8X\u7ebf\u7247\u53d1\u73b0\u5076\u7136\u53d1\u53bf\u80ba\u7ed3\u8282\u3002\u4f7f\u7528320Slice\u5355\u6e90CT\u626b\u63cf\u4eea(Aquilion One\uff0cToshiba Medical Systems Corporation\uff0cToshiba Medical Systems Corporation\uff0cTochigi\uff0c\u65e5\u672c)\u6ce8\u5c0450\u6beb\u5347\u4f4e\u6e17\u900f\u9020\u5f71\u5242\u7898\u6d77\u9187(Omnipaque 350\uff0cGE Healthcare Inc.) 1.5ml\/S\u8fdb\u884c\u80f8\u90e8CT\u68c0\u67e5\u3002\u7ed3\u679c\u89c1\u53f3\u4fa7\u4e3b\u52a8\u8109\u5f13\u4f34\u8ff7\u8d70\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u3002\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u7684\u4e3b\u52a8\u8109\u8d77\u59cb\u7aef\u5448\u68ad\u5f62\u6269\u5f20\u72b6\uff0c\u76f4\u5f842.3\u5398\u7c73\uff0c\u4e0e\u5927\u7684Kommerell\u61a9\u5ba4\u4e00\u81f4(\u56fe3)\u3002<\/p>\n<\/p>\n
\u5f71\u50cf\u5b66\u8868\u73b0-\u5728MDCT\u56fe\u50cf\u4e0a\uff0cKommerell\u61a9\u5ba4\u662f\u4e00\u4e2a\u5149\u6ed1\u7684\u68ad\u5f62\u61a9\u5ba4\uff0c\u4ece\u8ff7\u8d70\u9501\u9aa8\u4e0b\u52a8\u8109\u7684\u4e3b\u52a8\u8109\u8d77\u59cb\u7aef\u5411\u5916\u6269\u5f20\u7a81\u51fa\u3002Kommerell\u61a9\u5ba4\u7684\u76f4\u5f84\u4e0d\u5e94\u5927\u4e8e\u6b63\u5e38\u9501\u9aa8\u4e0b\u52a8\u8109\u76f4\u5f84\u768450%\uff0c\u5426\u5219\u6839\u636e\u547d\u540d\u60ef\u4f8b\uff0c\u5c06\u5176\u5b9a\u4e49\u4e3a\u52a8\u8109\u7624[37]\u3002<\/p>\n
\u6559\u5b66\u8981\u70b9-\u5373\u4f7f\u5728\u5927\u61a9\u5ba4\u4e2d\u901a\u5e38\u4e5f\u770b\u4e0d\u5230\u9644\u58c1\u8840\u6813\uff0c\u53ef\u80fd\u662f\u7531\u4e8e\u8840\u6d41\u901a\u8fc7\u5f62\u6001\u7b80\u5355\u7684\u61a9\u5ba4\u4ecd\u80fd\u4fdd\u6301\u5c42\u6d41\u6a21\u5f0f\u7684\u7684\u8840\u6d41\u52a8\u529b\u5b66\u3002\u7136\u800c\uff0c\u5982\u679c\u9501\u9aa8\u4e0b\u52a8\u8109\u5728\u61a9\u5ba4\u4e2d\u5448\u70b9\u72b6\u8d77\u6e90\u5f00\u53e3\u72ed\u5c0f\uff0c\u5219\u901a\u5e38\u4f1a\u51fa\u73b0\u72ed\u7a84\u540e\u6269\u5f20\uff0c\u540c\u65f6\u4f34\u6709\u9644\u58c1\u8840\u6813\u5f62\u6210[4]\u3002\u901a\u5e38\u5728\u61a9\u5ba4\u7624\u6837\u53d8\u4e4b\u524d\u4e0d\u8003\u8651\u624b\u672f\u6cbb\u7597\u3002<\/p>\n
3.3.\u75c5\u4f8b3\uff1a\u80f8\u964d\u4e3b\u52a8\u8109\u8fd1\u7aef\u56ca\u72b6\u52a8\u8109\u7624<\/p>\n
\u4e00\u4f4d69\u5c81\u7537\u6027\uff0c\u56e0\u5de6\u4fa7\u96f7\u9e23\u822c\u5267\u70c8\u5934\u75db\u800c\u5c31\u8bca\u3002\u4f7f\u7528320\u5c42\u5355\u6e90\u626b\u63cf\u4eea\uff08Aquapark ONE; Toshiba Medical Systems Corporation\uff0cTochigi\uff0cJapan\uff09\u6ce8\u5c0470 ml\u4f4e\u6e17\u9020\u5f71\u5242\u7898\u6d77\u9187\uff08Omnipaque 350\uff0cGE Healthcare Inc.\uff094.0 ml\/s\u8fdb\u884cCT\u9888\u52a8\u8109\u8840\u7ba1\u9020\u5f71\u4ee5\u6392\u9664\u9888\u52a8\u8109\u5939\u5c42\u3002<\/p>\n
\u8be5\u68c0\u67e5\u663e\u793a\u5728\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\uff0c\u4ece\u8fd1\u7aef\u80f8\u964d\u4e3b\u52a8\u8109\u5411\u524d\u5916\u4fa7\u6307\u5411\u5de6\u524d\u65b9\u7684\u4e00\u4e2a2.9 \u00d7 0.9 cm\u56ca\u72b6\u7a81\u51fa,\u4e0e\u56ca\u72b6\u52a8\u8109\u7624\u4e00\u81f4\uff08\u56fe4\uff09\u3002\u8be5\u60a3\u8005\u6ca1\u6709\u8ff7\u8d70\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109\u3002<\/p>\n<\/p>\n
\u5f71\u50cf\u5b66\u8868\u73b0-\u5728MDCT\u4e0a\uff0c\u80f8\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u8868\u73b0\u4e3a\u4ece\u4e3b\u52a8\u8109\u58c1\u5411\u5916\u7a81\u51fa\u3002\u91cd\u8981\u7684\u662f\u8981\u6ce8\u610f\uff0c\u80f8\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u53ef\u80fd\u4e0e\u8840\u7ba1\u708e\u6216\u611f\u67d3\uff08\u4f8b\u5982\uff0c\u9709\u83cc\u6216\u6885\u6bd2\u6027\u52a8\u8109\u7624\uff09\u5f15\u8d77\u7684\u6f5c\u5728\u52a8\u8109\u708e\u6709\u5173\uff0c\u8fd9\u4e9b\u52a8\u8109\u7624\u66f4\u5bb9\u6613\u7834\u88c2\uff0c\u6b7b\u4ea1\u7387\u9ad8[16\uff0c41 -44]\u3002\u5728\u8fd9\u4e9b\u60c5\u51b5\u4e0b\uff0c\u5f71\u50cf\u5b66\u7279\u5f81\u53ef\u80fd\u5305\u62ec\u4e3b\u52a8\u8109\u5468\u56f4\u8f6f\u7ec4\u7ec7\u548c\u589e\u5f3a\u8fb9\u7f18\uff08enhancing rim\uff09\u7684\u5176\u4ed6\u53d1\u73b0\u3002<\/p>\n
\u6559\u5b66\u8981\u70b9-\u80f8\u90e8\u56ca\u72b6\u52a8\u8109\u7624\u5f80\u5f80\u4f1a\u8868\u73b0\u4e3a\u5178\u578b\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u52a8\u8109\u7624\u7684\u5f71\u50cf\u5b66\u7279\u5f81\uff0c\u5305\u62ec\u9644\u58c1\u8840\u6813\u548c\u9499\u5316\u6591\u5757\u3002\u7d27\u90bb\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\u7684\u8fd1\u7aef\u80f8\u964d\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u53ef\u80fd\u4e0eKommerell\u52a8\u8109\u7624\u76f8\u4f3c\u3002\u5e94\u7279\u522b\u6ce8\u610f\u52a8\u8109\u7624\u7624\u9888\u7684\u786e\u5207\u4f4d\u7f6e\uff0c\u53ef\u80fd\u63a5\u8fd1\u4f46\u4e0d\u6d89\u53ca\u8ff7\u8d70\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109\u7684\u8d77\u6e90\u3002<\/p>\n
3.4.\u75c5\u4f8b4\uff1a\u53f3\u4fa7\u4e3b\u52a8\u8109\u5f13\u4e0a\u7684\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4<\/p>\n
\u4e00\u4f4d74\u5c81\u5973\u6027\uff0c\u56e0\u6d88\u5316\u4e0d\u826f\u5c31\u8bca\u3002\u4f7f\u7528320\u5c42\u5355\u6e90\u626b\u63cf\u4eea\uff08Aquapark ONE; Toshiba Medical Systems Corporation\uff0cTochigi\uff0cJapan\uff09\u6ce8\u5c0450 ml\u4f4e\u6e17\u9020\u5f71\u5242\u7898\u6d77\u9187\uff08Omnipaque 350\uff0cGE Healthcare Inc.\uff09\u4ee51.5ml\/s\u7684\u901f\u5ea6\u884cCT\u68c0\u67e5\u3002\u7ed3\u679c\u89c1\u793a\u53f3\u4fa7\u4e3b\u52a8\u8109\u5f13\u6709\u955c\u50cf\u5206\u652f\u3002\u987a\u4fbf\u5e26\u7740\u5728\u53f3\u9501\u9aa8\u4e0b\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\u7684\u4e3b\u52a8\u8109\u5f13\u5ce1\u90e8\u6c34\u5e73\u5904\uff0c\u4e3b\u52a8\u8109\u58c1\u4e5f\u6709\u4e00\u4e2a\u5149\u6ed1\u7684\u5c40\u7076\u6027\u9686\u8d77\uff0c\u4e0e\u4e3b\u52a8\u8109\u58c1\u5f62\u6210\u949d\u89d2\uff0c\u4e0e\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u4e00\u81f4\uff08\u56fe5\uff09\u3002<\/p>\n<\/p>\n
\u5f71\u50cf\u5b66\u8868\u73b0-\u5728MDCT\u4e0a\uff0c\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u662f\u4e00\u4e2a\u5149\u6ed1\u7684\u5c40\u7076\u6027\u9686\u8d77\uff0c\u4e0e\u4e3b\u52a8\u8109\u58c1\u5f62\u6210\u949d\u89d2[48]\u3002\u901a\u5e38\u5728\u4e3b\u52a8\u8109\u5ce1\u90e8\u4e0b\u524d\u5185\u4fa7\u52a8\u8109\u97e7\u5e26\u9644\u7740\u90e8\u4f4d\u53d1\u73b0[49]\u3002\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u662f\u80f8\u4e3b\u52a8\u8109\u5728\u53d1\u80b2\u8fc7\u7a0b\u4e2d\u5f62\u6210\u7684\u56ca\u888b\uff0c\u4ee3\u8868\u52a8\u8109\u5bfc\u7ba1\u6f0f\u6597\u6bb5\u7684\u6b8b\u4f59\u90e8\u5206[50]\u3002\u5fc5\u987b\u5c06\u5176\u4e0e\u4e3b\u52a8\u8109\u5f13\u52a8\u8109\u7624\u6216\u4e3b\u52a8\u8109\u5916\u4f24\u533a\u5206\u5f00\u6765\uff0c\u4ee5\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u624b\u672f\u3002<\/p>\n
4. Kommerell\u52a8\u8109\u7624\u548c\u7c7b\u4f3c\u75c5\u75c7\u7684\u5f71\u50cf\u5b66\u7279\u5f81\u603b\u7ed3<\/p>\n
Kommerell\u52a8\u8109\u7624\u3001\u5355\u7eaf\u6027Kommerell\u61a9\u5ba4\u3001\u80f8\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u548c\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u4e4b\u95f4\u7684\u9274\u522b\u7279\u5f81\u603b\u7ed3\u4e8e\u88681\u548c\u56fe6\u3002<\/p>\n<\/p>\n
5.\u7ed3\u8bba<\/p>\n
\u56ca\u72b6Kommerell\u52a8\u8109\u7624\u8868\u73b0\u4e3a\u8d77\u6e90\u4e8eKommerell\u61a9\u5ba4\u7684\u56ca\u72b6\u7a81\u8d77\uff0c\u5728MDCT\u6210\u50cf\u4e0a\u662f\u4e00\u4e2a\u6f5c\u5728\u7684\u8bca\u65ad\u9677\u9631\uff0c\u7c7b\u4f3c\u4e8e\u80f8\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u548c\u6269\u5f20\u7684Kommerell\u61a9\u5ba4\u3002\u51c6\u786e\u7684\u8bca\u65ad\u5bf9\u6210\u529f\u6cbb\u7597\u8fd9\u79cd\u6f5c\u5728\u7684\u81f4\u547d\u75be\u75c5\u8d77\u7740\u81f3\u5173\u91cd\u8981\u7684\u4f5c\u7528\u3002\u672c\u6587\u56de\u987e\u4e86Kommerell\u52a8\u8109\u7624\u3001Kommerell\u61a9\u5ba4\u3001\u52a8\u8109\u5bfc\u7ba1\u61a9\u5ba4\u548c\u80f8\u4e3b\u52a8\u8109\u56ca\u72b6\u52a8\u8109\u7624\u7684\u76f8\u5173MDCT\u8868\u73b0\u3002<\/p>\n
#artContent h1#artContent p img#artContent table<\/p>\n","protected":false},"excerpt":{"rendered":"
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