摘要
目的探讨Cockett综合征的影像检查方法和X线征象,为其临床诊断提供客观依据。方法回顾性分析32例左下肢Cockett综合征患者的影像表现,其中23例行左下肢深静脉顺行造影,16例行左髂静脉DSA检查,13例行盆腔及左下肢增强CT检查。结果左下肢深静脉顺行造影能全程显示左下肢深静脉回流情况,23例中的20例显示左髂总静脉变形、密度降低,阳性率约为87%。16例左髂静脉DSA检查全部显示左髂总静脉变形、密度降低,13例盆腔和左下肢增强CT检查全部显示左髂总静脉受右髂总动脉的压迫而变形。结论影像检查是对明确诊断Cockett综合征有重要的价值。
Objective To study the radiological manifestation of Cockett's syndrome, and to provide image basis for its clinical diagnosis. Methods 32 cases with Cockett's syndrome were retrospectively studied,including intravenous antegrade angiography of left lower limb(n=23),intra-left iliac veinous DSA(n=16), pelvic and left lower limb contrast CT (n=13). Results Intravenous antegrade angiography of left lower limb showed the entire deep veins, the appearances of left iliac veins in 20 of the 23 cases were deformities and lower densities,the positive rate was about 87%, intra-left iliac veinous DSA in 16 cases showed left iliac venous deformities and lower densities, pelvic and left lower limb contrast CT in 13 cases showed left iliac veins were deformities and compressed by the right iliac artery. Conclusion Imaging examinations present important value for the diagnosis.
出处
《上海医学影像》
2004年第4期246-247,250,共3页
Shanghai Medical Imaging
