64层螺旋CT血管造影对癌性上腔静脉综合征的诊断  

The Value of 64-slice Spiral CT Angiography in Diagnosis of the Malignant Superior Vena Cava Syndrome

作　　者：王俊[1] 金朝林[1] 张树桐[1] 王翔[1] 李翔[1] 谢元亮[1] 

机构地区：[1]武汉市中心医院影像科,湖北武汉430014

出　　处：《实用放射学杂志》2010年第6期831-833,851,共4页Journal of Practical Radiology

摘　　要：目的 探讨多层螺旋CT血管造影对上腔静脉综合征（SVCS）的诊断价值.方法 回顾性分析18例病理确诊为癌性SVCS的64层螺旋CT血管造影表现.结果 （1）原发病变：肺癌位于右上肺叶8例,右上纵隔型7例,淋巴瘤2例,侵袭性胸腺瘤1例.（2）上腔静脉梗阻征：单侧压迫（5例）、半环状包埋（8例）、环状包埋（4例）、夹心状包埋（1例）.（3）继发侧枝循环：侧枝循环开放10例.结论 多层螺旋CT血管造影能全面、准确地诊断SVCS,为临床诊断与治疗提供更丰富的影像学信息.Objective To evaluate the value of MSCT angiography in diagnosis of the vessel disease in superior vena cava syndrome（SVCS）. Methods MSCT angiographic manifestations of 18 cases with cancer SVCS were analyzed retrospectively. Results （1）The primary lesion included lung ancer in 15 cases（in right upper lobe in 8 and right upper mediastinal type in 7 cases） ,2 cases of lymphoma and one case of invasive thymoma. （ 2 ） The appearances of obstructive segments of SVC appeared as unilateral compression in 5, partial ringed encasement in 8, ringed encasement in 4 and sandwich-like encasement in one. （3）Collateral pathways were seen in 10 cases. Conclusion SVCS can be accurately diagnosed in detail with MSCT angiography,that is helpful for clinical diagnosis and administration of treatment.

关 键 词：上腔静脉综合征 血管造影术 体层摄影术 X线计算机 

分 类 号：R657.3[医药卫生—外科学] R814.43[医药卫生—临床医学]