多层螺旋CT和MR肺动脉成像诊断急性肺动脉栓塞的对比研究  

Comparative study between multi-slice spiral CT and MR pulmonary angiography in the diagnosis of acute pulmonary embolism

作　　者：王俊锋[1] 王会轩[1] 高朝前 

机构地区：[1]枣阳市第一人民医院影像科,湖北枣阳441200

出　　处：《临床肺科杂志》2016年第6期1055-1057,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的 探究多层螺旋CT肺动脉造影和MR肺动脉成像对急性肺动脉栓塞（PE）疾病的的诊断价值.方法 对2014年1月~2015年1月我院临床诊断为急性肺栓塞病接受住院治疗的120例患者进行分组,分组依据为随机数字表法,分为采用多层螺旋CT肺动脉造影诊断的CT组和采用MR肺动脉成像诊断的MR组,每组60例,对两组的诊断价值进行比较.结果 两组患者经过检查对PE的显示率均为100%,且两组患者栓子栓塞部位比例相当,无统计学差异（P〉0.05）,PE的间接征象有马赛克征、心包积液、肺动脉高压、胸腔积液、肺段梗死、局限性肺纹理稀疏,两组患者具体征象无统计学差异（P〉0.05）.结论 对急性肺动脉栓塞的患者采用MR肺动脉成像进行诊断较为方便,准确率也高,是一种简便、快捷、无创、有效的诊断方法,值得在临床上推广应用.Objective To compare the diagnostic value between multi-slice spiral CT and MR pulmonary an-giography （ PE） in the diagnosis of acute pulmonary embolism. Methods 120 cases with acute pulmonary embol-ism, which admitted in our hospital from January 2014 to January 2015, were selected as the objects and then they were randomly divided into the CT group and the MR group, 60 cases in each group. The CT group was given multi-slice spiral CT pulmonary angiography and the MR group was given MR pulmonary angiography. The diagnosis value of the two groups was compared. Results The occurrence of PE was 100% in the two group, the embolism embolus were similar in the two groups （P〉0. 05）. The indirect signs of PE showed no significant difference between the two groups, such as Mosaic, pericardial effusion, pulmonary hypertension, pleural effusion, pulmonary infarction, and localized pulmonary sparse texture （P〉0. 05）. Conclusion MR pulmonary angiography diagnosis is more conven-ient for patients with acute pulmonary embolism, with high accuracy and simple operation, and noninvasive and effec-tiveness.

关 键 词：肺动脉栓塞 CT血管成像 磁共振血管成像 

分 类 号：R563.5[医药卫生—呼吸系统] R816.4[医药卫生—内科学] R445.2[医药卫生—临床医学]