肺动脉CTA联合间接法盆腔下肢静脉CTV在肺动脉栓塞诊断中的作用  

The Effect of Pulmonary Artery CTA Combined with CT Vengraphy in the Diagnosis of Pulmonary Embolism

作　　者：杨剑[1] 黄锦钊[1] 袁国奇[1] 吴文秀[1] 刘海明[1] 梁辉清[1] YANG Jian HUANG Jian-zhao YUAN Guo-qi et al(Department of Radiology, Affiliated Zhongshan Hospital of Guangdong Medical College, Zhongshan 528415, Guangdong Province, China)

机构地区：[1]广东医学院附属中山医院放射科,广东中山528415

出　　处：《罕少疾病杂志》2017年第5期6-7,13,共3页Journal of Rare and Uncommon Diseases

基　　金：中山市医学科研基金项目(编号2015SYF0104)

摘　　要：目的探讨肺动脉CTA联合间接法盆腔下肢静脉CTV在肺动脉栓塞诊断中的作用。方法 56例疑为肺动脉栓塞的患者行肺动脉CTA及间接法盆腔下肢静脉CTV,数据传至工作站进行重建及观察,方法包括多平面重建(MPR)、曲面重建(CPR)、最大密度投影(MIP)及容积再现(VR)。结果无阳性发现7例,仅发现肺动脉栓塞3例,仅发现下肢静脉栓塞11例,肺动脉栓塞合并下肢静脉栓塞35例(62.5%)。结论肺动脉CTA联合间接法盆腔下肢静脉CTV能很好地显示肺动脉栓塞和/或下肢静脉栓塞,在肺动脉栓塞的诊断中具有重要的临床应用价值,值得在基层医院大力推广。To explore the value of pulmonary artery CTA combined with CT vengraphy in the diagnosis of pulmonary embolism. Methods Fifty-six suspected pulmonary embolism patients were performed both pulmonary angiography and CT vengraphy. The data were sent to workstation for reconstruction and observation. Postprocessing include multiplanar reconstruction （MPR）, curved surface reconstruction （CPR）, maximum density projection （MIP）and volume rendering（VR）. Re~/~ Thirty five patients had pulmonary embolism（PE） and deep venous thrombosis（DVT）, 3 had PE, 11 had DVT, and 7 had neither. CoDclIwdoa Combined pulmonary angiography and CT vengraphy can well display pulmonary embolism（PE） and/or deep venous thrombosis（DVT）, it plays an important role in the diagnosis of pulmonary embolism, suitable for popularization in basic level hospidal.

关 键 词：肺栓塞 静脉血栓形成 体层摄影术 X线计算机 静脉造影术 

分 类 号：R563.5[医药卫生—呼吸系统]