双源CT肺动脉造影在肺栓塞诊断中的应用评价  

Application of dual source CT pulmonary arteriography in diagnosis of pulmonary embolism

作　　者：董新伟[1] 

机构地区：[1]河南省南阳市中心医院胸外科,473000

出　　处：《中国实用医刊》2014年第19期71-72,共2页Chinese Journal of Practical Medicine

摘　　要：目的：分析研究双源CT肺动脉造影（ CTPA）在肺栓塞诊断中的应用价值。方法回顾性分析南阳市中心医院2011年9月至2012年9月收治的34例肺栓塞患者的临床资料，总结其CT检查特征。结果34例患者经双源CT检查后均确诊为肺动脉栓塞，27例可见肺动脉腔内部分性充盈缺损。其中中央型6例，偏心性21例，完全性管腔梗阻7例。部分患者可见肺梗死、肺容积缩小、膈肌抬高、胸腔积液和右室功能不全等肺动脉栓塞的间接征象。结论双源CT肺动脉造影为肺栓塞患者的临床诊断提供了较客观准确的影像学依据，可作为重要的无创性影像学方法使用。Objective To analyzed the value of dual source CT on the diagnosis of pulmonary embolism and its clinical used. Methods A retrospective analysis of clinical data was conducted in 34 patients with pulmonary embolism who were admitted in central hospital of Nanyang from September 2011 to September 2012 and the CT date were analyzed. Results The 34 suspected cases were diagnosed as pulmonary embolism. Diagnostic direct manifestations showed central in 6 cases,periphery in 27 cases,and complete occlusion in 7 cases. Indirect signs showed pulmonary infarction,bronchial artery dilation,pleural effusion and right ventricular dysfunction. Conclusions Dual source CT is a uninjured diagnosis method for pulmonary embolism,and it is safe,quick and sensitive,it can help estimate the treatmentand effect.

关 键 词：肺栓塞 双源CT CT肺动脉造影 诊断 

分 类 号：R563.5[医药卫生—呼吸系统]