CTA联合NT-proBNP诊断急性肺栓塞的价值观察  

Value of CTA Combined with NT-proBNP in the Diagnosis of Acute Pulmonary Embolism

作　　者：谢利霞[1] 胡小萍[1] 徐芳[1] 王蓓蓓 XIE Li-xia;HU Xiao-ping;XU Fang(Department of Respiratory and Critical Care Medicine,Wuhan First Hospital,Wuhan 430030,Hubei Province,China)

机构地区：[1]武汉市第一医院呼吸与危重症医学科,湖北武汉430030

出　　处：《中国CT和MRI杂志》2020年第11期97-99,共3页Chinese Journal of CT and MRI

摘　　要：目的探究X线计算机断层摄影血管造影(CTA)联合N末端B型钠尿肽(NTproBNP)诊断急性肺栓塞(APE)的价值。方法回顾性分析2017年3月至2019年2月我院96例APE患者临床资料。评估CTA、血浆NT-proBNP及其联合检测诊断APE的临床价值。结果96例APE患者,肺动脉CTA检出87例阳性,漏诊9例,阳性率90.63%;血浆NT-proBNP>125pg/mL者77例,阳性率80.21%;2种检查手段联合检出APE阳性94例,漏诊2例,阳性率97.92%。肺动脉CTA诊断APE阳性率高于血浆NT-proBNP(P<0.05),肺动脉CTA及血浆NT-proBNP联合检测诊断APE阳性率高于单项检测(P<0.05)。结论血浆NT-proBNP筛查联合肺动脉CTA定性检查对APE诊断价值较高,是一种有效的无创检查手段。Objective To investigate the value of X-ray computed tomography angiography(CTA)combined with N-terminal pro-brain natriuretic peptide(NT-proBNP)in the diagnosis of acute pulmonary embolism(APE).Methods The clinical data of 96 patients with APE in our hospital from March 2017 to February 2019 were retrospectively analyzed.The clinical value of CTA,plasma NT-proBNP and their combined detection in the diagnosis of APE was recorded.Results Among 96 patients with APE,87 cases were positive and 9 cases were missed by pulmonary CTA,and the positive rate was 90.63%.77 cases were with plasma NT-proBNP>125pg/mL,and the positive rate was 80.21%.94 cases were with positive APE and 2 cases were missed by combination of the two examination methods,and the positive rate was 97.92%.The positive rate of APE by pulmonary CTA was higher than that by plasma NT-proBNP(P<0.05).The positive rate of APE by pulmonary CTA combined with plasma NT-proBNP was higher than that by single detection(P<0.05).Conclusion Plasma NT-proBNP screening combined with pulmonary CTA qualitative examination has a high diagnostic value on APE and is an effective non-invasive method.

关 键 词：急性肺栓塞 CTA NT-PROBNP 联合诊断 

分 类 号：R445[医药卫生—影像医学与核医学]