胸部螺旋CT肺血管造影在肺动脉栓塞诊断中的应用价值  

Clinical Significance of Lung Angiographic by Chest SCT Scanning in the Pulmonary Embolism Diagnosis

作　　者：卞京文[1,2] 施斌斌[1,2] 杜红梅[1,2] 汤艳[1,2] 黄谦[1,2] 

机构地区：[1]扬州大学医学院附属医院 [2]江苏省苏北人民医院呼吸科

出　　处：《临床肺科杂志》2007年第9期931-932,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的为了提高肺动脉栓塞的诊断率,减少漏诊率。方法笔者总结了我院2004年10月～2006年12月经螺旋CT肺血管造影确诊为肺动脉栓塞的病人36例,进行回顾性分析。结果36例均见不同程度的充盈缺损直接征象及肺动脉高压、胸腔积液、肺纹理稀疏和肺斑片状模糊影等间接征象。结论对比其它检查方法,说明螺旋CT肺血管造影具有无创安全、快速、敏感性高、价格较低,同时还可以诊断胸部其它疾病,有望成为诊断肺动脉栓塞的首选检查方法。Objective To increase the diagnosis rate of the pulmonary embolism. Methods 36 cases diagnosed as pulmonary embolism by SCT during Oct 2004 to Dec 2006 in the hospital were analysised retrospectively. Results Various of direct and indirect signs were observed in the 36 patients, such as filling defect, pulmonary hypertension, pleural effusion, pulmonary infarction, patch clouding opacity. Conclusion It indicated that with the advantage of nontrauma, high speed, sensitivity, economy compare to the other examinations, and not only pulmonary embolism but also the other diseases can be diagnosed by SCT. So SCT can be the first examination choice in the diagnose of pulmonary embolism.

关 键 词：CT 肺血管造影 肺栓塞 

分 类 号：R563.5[医药卫生—呼吸系统]