三维螺旋CT血管重建在子宫动静脉瘘中的应用  

Application of 3D-CTA in uterine arteriovenous fistula

作　　者：赵文礼[1] 孙丽丹[2] ZHAO Wen-li;SUN Li-dan(CT room of Hongda Hospital of Jiamusi University,Jiamusi 154000,China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Jiamusi University,Jiamusi 154000,China)

机构地区：[1]佳木斯大学宏大医院CT室,黑龙江佳木斯154000 [2]佳木斯大学附属第一医院妇产科,黑龙江佳木斯154000

出　　处：《吉林医学》2022年第2期491-493,共3页Jilin Medical Journal

摘　　要：目的:探讨在子宫动静脉瘘(AFL)中采取三维螺旋CT血管重建(3D-CTA)的应用价值。方法:选取2019年10月~2020年10月46例疑似AFL患者为研究对象,均给予3D-CTA检查,VR重建图像,对影像表现进行分析,并将数字减影血管成像(DSA)作为金标准,与3D-CTA检查结果进行对比。结果:46例疑似AFL患者经DSA证实确诊率为91.30%,DSA诊断符合率、灵敏度、特异度与3D-CTA对比,差异无统计学意义(P>0.05)。结论:3D-CTA能够准确诊断AFL,以此为临床诊治提供清晰、立体的影像学资料,值得借鉴。Objective To study the application value of three-dimensional computed tomographic angiography(3D-CTA)in uterine arteriovenous fistula(AFL).Method 46 patients with suspected AFL were selected from October 2019 to October 2020 in our hospital.All patients were given 3D-CTA examination,VR reconstruction image,and the image performance was analyzed.Digital subtraction angiography(DSA)was taken as the gold standard,and the results were compared with 3D-CTA.Results The diagnosis rate of 46 suspected AFL patients confirmed by DSA was 91.30%;there was no difference in the coincidence rate,sensitivity and specificity between DSA and 3D-CTA(P>0.05).Conclusion 3D-CTA can accurately diagnose AFL,and provide clear and three-dimensional imaging data for clinical diagnosis and treatment,which is worthy of reference.

关 键 词：子宫动静脉瘘 血管重建 数字减影血管成像 血管畸形 三维螺旋CT 

分 类 号：R711.74[医药卫生—妇产科学] R816.91[医药卫生—临床医学]