慢性阻塞性肺疾病合并肺栓塞的临床及CT定量研究进展  

Clinical and Quantitative Research Progress in Chronic Obstructive Pulmonary Disease Complicated Lung Thromboembolism

作　　者：孟令新[1] 刘挨师[1] 

机构地区：[1]内蒙古医科大学附属医院CT室,呼和浩特010050

出　　处：《医学综述》2018年第3期596-600,共5页Medical Recapitulate

基　　金：内蒙古自治区自然科学基金(2016MS08144)

摘　　要：慢性阻塞性肺疾病(COPD)是呼吸系统疾病中常见及多发的慢性病。COPD合并肺栓塞的发病率显著升高,临床症状相互掩盖,给临床诊断带来一定的困难。螺旋CT肺动脉造影(CTPA)是COPD合并肺栓塞检测的重要手段,随着影像技术的迅速发展,进一步实现了CT定量技术,具有广泛的应用前景,对栓子分布和定量的评估可作为COPD合并肺栓塞的治疗检测或预后评价的指标。新的影像技术发展为这种动态观测和定量研究提供可能性。CT定量技术对COPD合并肺栓塞患者进行栓子的识别及栓塞程度的分析,并从形态学上纵向观察两者之间的关系,有助于提高肺栓塞的诊疗效果,降低病死率。Chronic obstructive pulmonary disease（ COPD） is a common and frequent chronic disease of respiratory diseases. The incidence of COPD with pulmonary embolism was significantly increased,with the mutual cover of clinical symptoms,there are some difficulties in the clinical diagnosis. Spiral CT pulmonary angiography（ CTPA） is an important detection measure of COPD with pulmonary embolism,with the rapid development of imaging technology,CT quantitative technology is further realized and has a wide range of application prospects. Its assessment of embolic distribution and quantitation can be used as an indicator of therapeutic testing or prognostic evaluation of COPD with pulmonary embolism. The development of new imaging technologies has provided possibilities for the dynamic observation and quantitative research. CT quantitative analysis can realize emboli identification and embolization degree analysis of COPD patients with pulmonary embolism,and observation of the relationship between the two form longitudinal morphology,which helps to improve the diagnosis and treatment effect of pulmonary embolism and reduce mortality.

关 键 词：慢性阻塞性肺疾病 肺栓塞 CT CT肺动脉造影 定量 

分 类 号：R563[医药卫生—呼吸系统] R445.3[医药卫生—内科学]