多层螺旋CT肺动脉造影预测急性肺栓塞患者预后的分析  

Analysis of Multi-slice Spiral CT Pulmonary Angiography in Predicting the Prognosis of Patients with Acute Pulmonary Embolism

作　　者：储赟[1] CHU Yun(Department of CT/MRI,Jurong People's Hospital,Jurong,Jiangsu Province,212400 China)

机构地区：[1]句容市人民医院CT/MRI室,江苏句容212400

出　　处：《世界复合医学》2022年第9期72-74,78,共4页World Journal of Complex Medicine

摘　　要：目的探讨多层螺旋CT肺动脉造影预测急性肺栓塞患者预后价值。方法回顾性分析句容市人民医院2017年12月—2021年4月收治的52例急性肺栓塞患者病历资料,根据患者预后结果分为存活组(n=44)、死亡组(n=8),对比两组患者多层螺旋CT肺动脉造影定量参数,多因素Logistic回归分析急性肺栓塞死亡危险因素。结果存活组CT肺动脉阻塞指数(11.52±5.62)%、肺动脉直径(27.58±4.21)mm、右心室短轴最大径(RVSAMD)(4.01±1.25)cm均明显低于死亡组(22.01±8.02)%、(33.25±2.95)mm、(5.78±1.30)cm,差异有统计学意义(t=4.538、3.636、3.663,P<0.05);两组左心室短轴最大径(LVSAMD)对比[(4.40±0.89)cm vs(4.01±0.72)cm],差异无统计学意义(t=1.169,P>0.05);经多因素Logistic回归分析,CT肺动脉阻塞指数、肺动脉直径、RVSAMD均为导致急性肺栓塞死亡的独立危险因素(OR=1.619、1.248、1.484,P<0.05)。结论多层螺旋CT肺动脉造影对于急性肺栓塞预后情况预测价值显著,多层螺旋CT肺动脉造影CT肺动脉阻塞指数、肺动脉直径、RVSAMD等参数均为患者死亡的独立危险因素。Objective To investigate the prognostic value of multi-slice spiral CT pulmonary angiography in patients with acute pulmonary embolism.Methods The medical records of 52 patients with acute pulmonary embolism admitted to Jurong People’s Hospital from December2017 to April 2021 were retrospectively analyzed.According to the prognosis of patients,they were divided into survival group(n=44)and death group(n=8).The quantitative parameters of multi-slice spiral CT pulmonary angiography were compared between the two groups,and the risk factors of death from acute pulmonary embolism were analyzed by multivariate Logistic regression.Results The CT pulmonary artery obstruction index(11.52±5.62)%,pulmonary artery diameter(27.58±4.21)mm,right ventricular short-axis maximum diameter(RVSAMD)(4.01±1.25)cm in the survival group were significantly lower than those in the death group(22.01±8.02)%,(33.25±2.95)mm,(5.78±1.30)cm,and the difference was statistically significant(t=4.538,3.636,3.663,P<0.05).There was no statistically significant difference in left ventricular short-axis maximum diameter(LVSAMD)between the two groups[(4.40±0.89)cm vs(4.01±0.72)cm](t=1.169,P>0.05).After multivariate Logistic regression analysis,CT pulmonary artery obstruction index,pulmonary artery diameter,and RVSAMD were all independent risk factors for death from acute pulmonary embolism(OR=1.619,1.248,1.484,P<0.05).Conclusion Multi-slice spiral CT pulmonary angiography has a significant predictive value for the prognosis of acute pulmonary embolism.Multi-slice spieal CT pulmonary angiography CT pulmonary artery obstruction index,pulmonary artery diameter,RVSAMD and other parameters are independent risk factors for death.

关 键 词：多层螺旋CT 肺动脉造影 急性肺栓塞 肺动脉直径 平均动脉压 

分 类 号：R4[医药卫生—临床医学]