摘要
目的探讨CT检查预测B型主动脉壁间血肿患者预后的意义。方法回顾性分析河南省胸科医院2016年1月至2022年4月收治201例B型主动脉壁间血肿患者临床资料,根据是否发生终点事件分为预后良好组(179例)和预后不良组(22例)。比较预后良好组与预后不良组临床资料及实验室检查指标,分析影响患者预后的危险因素,Kaplan-Meier法进行生存分析。结果预后不良组心包积液比例、主动脉最大径和最大血肿厚度均高于预后良好组,差异有统计学意义(P<0.05)。心包积液、主动脉最大径和最大血肿厚度均是患者预后不良的独立危险因素,差异有统计学意义(P<0.05)。Log-rank检验显示,无心包积液、主动脉最大径<34 mm、最大血肿厚度<8 mm患者生存时间显著高于有心包积液、主动脉最大径≥34 mm、最大血肿厚度≥8 mm患者,差异有统计学意义(P<0.05)。结论心包积液、主动脉最大径和最大血肿厚度可较好预测B型主动脉壁间血肿进展及预后。
Objective To investigate the prognostic significance of CT examination in patients with type B interwall aortic hematoma.Methods The clinical data of 201 patients with type B interaortic hematomas admitted to Henan Chest Hospital from January 2016 to April 2022 were retrospectively analyzed,and the patients were divided into a good prognosis group(179 cases)and a poor prognosis group(22 cases)according to the occurrence of endpoint events.Clinical data and laboratory test indexes of the good prognosis group and the poor prognosis group were compared,analyzed risk factors affecting the prognosis of patients,survival analysis was performed by Kaplan-Meier method.Results The proportion of pericardial effusion,maximum aortic diameter and maximum hematoma thickness in the poor prognosis group were higher than those in the good prognosis group,and the differences were statistically significant(P<0.05).Pericardial effusion,maximum aortic diameter and maximum hematoma thickness were independent risk factors for poor prognosis,and the differences were statistically significant(P<0.05).Logrank test showed that the survival time of patients with no pericardial effusion,maximum aortic diameter<34 mm and maximum hematoma thickness<8 mm was significantly higher than that of patients with pericardial effusion,maximum aortic diameter≥34 mm and maximum hematoma thickness≥8 mm,and the differences were statistically significant(P<0.05).Conclusion Pericardial effusion,maximum aortic diameter and maximum hematoma thickness can better predict the progression and prognosis of type B aortic interwall hematoma.
作者
周静
杨瑞
刘继伟
和燕斐
崔聪
武刚
ZHOU Jing;YANG Rui;LIU Jiwei;HE Yanfei;CUI Cong;WU Gang(Medical Imaging Department,Henan Chest Hospital,Zhengzhou Henan 450000,China;Cardiovascular Department,Henan Chest Hospital,Zhengzhou 450000,China)
出处
《临床研究》
2024年第1期140-143,共4页
Clinical Research
基金
CT预测B型主动脉壁间血肿进展及预后的临床研究(LHGJ20220234)。
关键词
B型主动脉壁间血肿
CT检查
危险因素
预后
type B interaortic wall hematoma
CT examination
risk factors
prognosis
