[1]安彩霞,刘建中,杨丽娟.64层螺旋CT肺血管造影在肺栓塞诊疗中的应用价值[J].国际放射医学核医学杂志,2010,34(6):367-369.[doi:10.3760/cma.j.issn.1673-4114,2010.06.013]
　AN Cai-xia,LIU Jian-zhong,YA NG Li-juan.Assessment of 64-slice spiral CT pulmonary angiography in diagnosing of pulmonary embolism[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(6):367-369.[doi:10.3760/cma.j.issn.1673-4114,2010.06.013]
点击复制

64层螺旋CT肺血管造影在肺栓塞诊疗中的应用价值(/HTML)
分享到：

《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
34
期数:
2010年第6期
页码:
367-369
栏目:
临床放射医学
出版日期:
1900-01-01

文章信息/Info

Title:
Assessment of 64-slice spiral CT pulmonary angiography in diagnosing of pulmonary embolism
作者:
安彩霞1;  刘建中2;  杨丽娟1
1. 山西省西山煤电集团职工总医院CT室, 太原 030053;
2. 山西医科大学第一附属医院核医学科, 太原 030001
Author(s):
AN Cai-xia1;  LIU Jian-zhong2;  YA NG Li-juan1
Department of CT, The General Hospital of Xishan Coal and Electrical Group Co. Ltd, Taiyuan 030053, China
关键词:
肺栓塞; 体层摄影术; 螺旋计算机
Keywords:
Pulmonary embolism; Tomography; spiral computed
DOI:
10.3760/cma.j.issn.1673-4114,2010.06.013
摘要:
目的 探讨64层螺旋CT在肺栓塞诊断及治疗中的指导作用。方法 63例患者均行64层螺旋CT肺血管造影(CTPA),并进行多种形式的图像重建结合轴位图像分析。结果 64层螺旋CTPA对63例患者肺动脉各级管腔内的栓子均明确显示,共累及肺动脉303支;图像分析结果伞部显示肺栓塞的直接征象为:主肺动脉和(或)左右肺叶、段、亚段血管腔内充盈缺损和血管阻塞;部分显示肺栓塞的间接征象为:马赛克征、右心房及右心室肥厚及扩张、肺动脉扩张、胸腔积液、肺不张及实变(肺梗死)等。62例患者经溶栓治疗后复查CTPA,其中,栓子完全消失者47例,栓子明显缩小者11例,溶栓治疗效果差者3例,考虑为慢性肺栓塞。结论 64层螺旋CTPA是临床最有效的诊断肺栓塞及溶栓后疗效评价的无创性方法之一。
Abstract:
Objective To assess the clinical usefulness of 64-slice spiral CT pulmonary angiography (CTPA) in diagnosing of pulmonary embolism.Methods Sixty-three patients with clinically known pulmonary embolism underwent 64-slice spiral CTPA. The source images of all the patients were reconstructed with the 3D techniques including multiplanar reconstruction, maximum intensity projection and volume rendering, CT axial images features were analyzed.Results Three hundreds and three embolus were found in 63 cases patients.The direct diagnostic findings of pulmonary embolism including:64-slice spiral CTPA clearly showed the sites,extensions and stenosed lumens of pulmonary embolism in all patients. Pulmonary embolism lesions appeared as intra-luminal irregular-plaque shape and adhered-mural filling defects. The indirect diagnostic findings of pulmonary embolism including:dmosaic signs, dilation of the right ventricle and atrium, pulmonary artery enlargement, pleural effusion, pulmonary atelectasis and pulmonary consolidation(pulmonary infarction). There are 47 patients whose thrombosis disappeared after therapy in 62 patients, 11 became smaller and 3 were chronic pulmonary embolism.Conclusion 64-slice spiral CTPA is one of the most effective and non-invasive imaging modalities in the diagnosis before and after therapy of pulmonary embolism.

参考文献/References:

[1] 乐民,魏林.肺栓塞与深静脉血栓形成.北京:人民卫生出版社,2001:32-39.
[2] 马大庆.多排螺旋CT对于肺栓塞的诊断.中国介入影像与治疗学,2005,2(3):161-165.
[3] Remy-Jardin M, Pistolesi M, Goodman LR, et al. Management of suspected acute pulmonary, embolism in the era of CT angiography:a statement from the Fleischner Society. Radiology. 2007, 245(2):315-329.
[4] 赵博文,应可净,陈丽英,等.彩色多普勒超声检查在急性肺栓塞诊断与治疗中的价值.中华急诊医学杂志,2006,15(4):342-344.
[5] 谭业颖,田嘉禾.肺灌注/通气显像与螺旋CT肺动脉造影诊断肺栓塞的对比研究.医学影像学杂志,2007,17(2):137-139.
[6] Schoepf U J, Costello P. CT angiography for diagnosis of pulmonary embolism:state of the art. Radiology, 2004, 230(2):329-337.
[7] 王辰.肺栓塞.北京:人民卫生出版社,2003.390-400.
[8] 黄小勇,濮欣,张兆琪,等.双能量CT肺灌注及血管成像与核素肺通气灌注成像诊断肺栓塞的对照研究.中华放射学杂志,2010,44(9):926-930.

相似文献/References:

[1]周玉祥,蓝博文,黄春榆,等.64排螺旋CT冠状动脉血管成像诊断冠状动脉-肺动脉瘘的应用价值[J].国际放射医学核医学杂志,2016,40(1):26.[doi:10.3760/cma.j.issn.1673-4114.2016.01.006]
　Zhou Yuxiang,Lan Bowen,Huang Chunyu,et al.Clinical value of coronary artery-pulmonary artery fistula revealed by 64-slice spiral CT coronary angiography[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):26.[doi:10.3760/cma.j.issn.1673-4114.2016.01.006]
[2]陈超坤,刘亮,傅飞先,等.囊性胸腺瘤和囊性畸胎瘤的影像学特征及鉴别诊断[J].国际放射医学核医学杂志,2016,40(1):31.[doi:10.3760/cma.j.issn.1673-4114.2016.01.007]
　Chen Chaokun,Liu Liang,Fu Feixian,et al.Imaging features and differential diagnosis of cystic thymoma and cystic teratoma[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):31.[doi:10.3760/cma.j.issn.1673-4114.2016.01.007]
[3]岳进,苏丽萍.全身MRI与PET/CT在淋巴瘤骨髓浸润诊断及预后中的作用[J].国际放射医学核医学杂志,2016,40(1):50.[doi:10.3760/cma.j.issn.1673-4114.2016.01.010]
　Yue Jin,Su Lipin.Function of whole-body MRI and PET/CT in the diagnosis and prognosis of lymphoma with bone marrow infiltration[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):50.[doi:10.3760/cma.j.issn.1673-4114.2016.01.010]
[4]张莹莹,王振光,孔艳.PET/CT显像在肺间质纤维化中的应用进展[J].国际放射医学核医学杂志,2016,40(1):55.[doi:10.3760/cma.j.issn.1673-4114.2016.01.011]
　Zhang Yingying,Wang Zhenguang,Kong Yan.Application advancement on PET/CT in pulmonary interstitial fibrosis[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):55.[doi:10.3760/cma.j.issn.1673-4114.2016.01.011]
[5]麦卫平,张永林.能谱CT成像在肺癌诊断中的应用研究进展[J].国际放射医学核医学杂志,2016,40(1):77.[doi:10.3760/cma.j.issn.1673-4114.2016.01.015]
　Mai Weiping,Zhang Yonglin.Research progress of spectral imaging in the diagnosis of lung cancer[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):77.[doi:10.3760/cma.j.issn.1673-4114.2016.01.015]
[6]史文杰,孟召伟,谭建.基于Deauville标准探讨18F-FDG PET/CT在霍奇金淋巴瘤复发诊断中的应用价值[J].国际放射医学核医学杂志,2016,40(2):120.[doi:10.3760/cma.j.issn.1673-4114.2016.02.007]
　Shi Wenjie,Meng Zhaowei,Tan Jian.Value of 18F-FDG PET/CT on diagnosis of Hodgkin lymphoma recurrence using Deauville criterion[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):120.[doi:10.3760/cma.j.issn.1673-4114.2016.02.007]
[7]周翠屏,廖俊杰,何国华,等.原发性肠系膜巨大淋巴结增生症的MSCT表现与病理对照分析[J].国际放射医学核医学杂志,2016,40(3):175.[doi:10.3760/cma.j.issn.1673-4114.2016.03.003]
　Zhou Cuiping,Liao Junjie,He Guohua,et al.Primary mesenteric Castleman disease:MSCT findings with histopathologic correlation[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):175.[doi:10.3760/cma.j.issn.1673-4114.2016.03.003]
[8]张巧娜,刘汉东.上颌窦上皮-肌上皮癌的CT表现一例[J].国际放射医学核医学杂志,2016,40(3):237.[doi:10.3760/cma.j.issn.1673-4114.2016.03.015]
[9]尤阳,轩昂,张杰,等.淋巴瘤患者大脑静息葡萄糖代谢改变[J].国际放射医学核医学杂志,2016,40(4):255.[doi:10.3760/cma.j.issn.1673-4114.2016.04.003]
　You Yang,Xuan Ang,Zhang Jie,et al.Changes in resting-state brain glucose metabolism in patients with lymphoma[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):255.[doi:10.3760/cma.j.issn.1673-4114.2016.04.003]
[10]王朋,崔邦平,代文莉,等.18F-FDG PET/CT在前列腺癌中的应用进展[J].国际放射医学核医学杂志,2016,40(4):277.[doi:10.3760/cma.j.issn.1673-4114.2016.04.008]
　Wang Peng,Cui Bangping,Dai Wenli,et al.Progress in the application of 18F-FDG PET/CT in prostate cancer[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(6):277.[doi:10.3760/cma.j.issn.1673-4114.2016.04.008]
[11]郭宵峰,刘建中,孙琦婷.肺通气/灌注平面显像与肺灌注SPECT/CT对肺栓塞诊断价值的对比性研究[J].国际放射医学核医学杂志,2015,39(4):277.[doi:10.3760/cma.j.issn.1673-4114.2015.04.001]
　Guo Xiaofeng,Liu Jianzhong,Sun Qiting.Comparative study of pulmonary ventilation/perfusion planar imaging and pulmonary perfusion SPECT combined with low-dose CT in the diagnosis of pulmonary embolism[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(6):277.[doi:10.3760/cma.j.issn.1673-4114.2015.04.001]
[12]杨心蕊,卫华,郝新忠,等.过敏性肺炎伴左肺动脉栓塞18F-FDGPET/CT误诊肺癌一例[J].国际放射医学核医学杂志,2014,38(2):135.[doi:10.3760/cma.j.issn.1673-4114.2014.02.014]

备注/Memo

备注/Memo:
收稿日期:2010-09-12。
通讯作者:安彩霞(E-mail:ancaixiao01@sina.com)
更新日期/Last Update: 1900-01-01