心脏彩超联合MSCT、D-二聚体在诊断急性肺栓塞中的应用  

Application of Heart Color Doppler Ultrasound Comb ined with MSCT and D-dimer in the Diagnosis of Acute Pulmonary Embolism

作　　者：刘莉[1] 张伟[1] 赵芳 LIU Li;ZHANG Wei;ZHAO Fang(Department of ultrasound.Xiangyang Center Hospital,Affiliated Hospital of Hubei arts and Science College,Xiangyang 441021,Hubei Province,China)

机构地区：[1]襄阳市中心医院(湖北文理学院附属医院)超声医学科,湖北襄阳441021 [2]襄阳市第一人民医院(湖北医药学院附属医院)超声科,湖北襄阳441000

出　　处：《中国CT和MRI杂志》2020年第11期91-93,共3页Chinese Journal of CT and MRI

基　　金：湖北省自然科学基金(编号:2014CKB1214)。

摘　　要：目的分析心脏彩超联合多层螺旋CT(MSCT)、血浆D-二聚体(DD)检测对急性肺栓塞的诊断价值。方法将我院收治的98例疑似急性肺栓塞患者作为研究对象,所有患者均进行心脏彩超、MSCT、血浆DD检查,以临床最终诊断结果为准,评估不同检查方法对急性肺栓塞的诊断效能。结果98例疑似患者最终诊断为急性肺栓塞者85例。心脏彩超对急性肺栓塞诊断灵敏度、特异度和准确度分别为87.06%、61.54%、83.67%,MSCT对急性肺栓塞诊断灵敏度、特异度和准确度分别为96.47%、76.92%、93.88%,血浆DD对急性肺栓塞诊断灵敏度、特异度和准确度分别为78.82%、38.46%、73.47%,三种方法联合检查对急性肺栓塞诊断灵敏度、特异度和准确度分别为100%、84.62%、97.96%,高于各单独检测。结论心脏彩超联合MSCT、血浆DD检查可较好提高急性肺栓塞诊断效能。Objective To analyze the diagnostic value of heart color Doppler ultrasound combined with multi-slice spiral CT(MSCT)and plasma D-dimer(DD)for acute pulmonary embolism.Methods A total of 98 patients with suspected acute pulmonary embolism in the hospital were enrolled in the study.All of them underwent heart color Doppler ultrasound,MSCT or plasma DD examination.With final clinical diagnostic results as the standard,the diagnostic efficiencies of different examination methods for acute pulmonary embolism were evaluated.Results Among the 98 patients,85 cases were eventually diagnosed with acute pulmonary embolism.The sensitivity,specificity and accuracy of heart color Doppler ultrasound for diagnosis of acute pulmonary embolism were 87.06%,61.54%and 83.67%,respectively.Those of MSCT were 96.47%,76.92%and 93.88%,respectively.Those of DD were 78.82%,38.46%and 73.47%,respectively.The sensitivity,specificity,and accuracy of the combined diagnosis of the three methods for diagnosis of acute pulmonary embolism were 100%,84.62%and 97.96,respectively.%,higher than those of single detection.Conclusion Heart color Doppler ultrasound combined with MSCT and plasma DD examination can improve the diagnostic efficiency of acute pulmonary embolism.

关 键 词：心脏彩超 多层螺旋CT D-二聚体 急性肺栓塞 

分 类 号：R54[医药卫生—心血管疾病]