摘要
目的研究采用多层螺旋CT肺动脉血管造影(CTPA)对肺动脉血栓栓塞性疾病进行临床诊断的价值。方法选取2012年8月—2014年8月该院60例肺动脉CTPA患者为研究对象,均采用GE128层螺旋CT检查,经容积重建、多平面重建、最大密度投影等后处理技术,对其诊断结果和价值进行评定。结果 60例患者中40例确诊为肺栓塞,约占66.7%;肺动脉栓塞的最直接影像学征象为肺动脉腔内充盈、完全阻塞、璞样征、血管壁增厚,间接影像学征象为肺动脉高压、肺梗死、胸腔积液或心包积液、马赛克征象、胸膜增厚,支气管动脉扩张、右心室扩大、右心室及右心房血栓。结论CTPA对肺动脉疾病的诊断具有迅速、无创、对特征性影像显示清晰等优点,有利于临床医师对急慢性肺栓塞的诊断,并制定治疗方案以及评定疗效。
Objective Studies using multi-slice spiral CT pulmonary angiography （CTPA） on pulmonary thromboembolic disease clinical diagnosis value. Method Select August 2012-August 2014 in our hospital 60 cases of patients with pulmonary CTPA as the research object, are used GE128-slice CT, by volume rendering, MPR, maximum intensity projection and other post-processing techn ologies,evaluated for its diagnostic results and value.Result 60 patients diagnosed with pulmonary embolism in 40 cases, accounting for 66.7%;pulmonary embolism is the most direct radiological signs of pulmonary cavity filling, completely blocked, Pu-like symptoms, blood vessel wall thickening, indirect radiological signs of pulmonary hypertension, pulmonary infarction, pleural effusion or pericardial effusion, mosaic signs, pleural thickening, bronchial arteries, right ventricular enlargement, right ventricular and right atrial thrombus. Conclusion CTPA for the diagnosis of pulmonary disease has rapid, non-invasive imaging of features clear display, etc., help the clinician diagnosis of acute and chronic pulmonary embolism, and to develop and evaluate the efficacy of treatment regimens.
出处
《中外医疗》
2015年第10期172-173,共2页
China & Foreign Medical Treatment
关键词
肺动脉
血栓栓塞
血管造影
诊断价值
CTPA
CTPA
Pulmonary
Thromboembolism
Angiography
Diagnostic value
