摘要
肺动脉栓塞(PE)是常见病,多发病。其发病率和死亡率均较高。临床上常缺乏特异性症状、体征及实验室检查。对PE的各种影像学诊断方法中,选择性肺动脉造影仍是公认的金标准,然而其为有创性检查和具有一定并发症(并发症发病率约4%,死亡率约0.2%),故限制了其临床广泛应用。随着CT技术的不断发展,目前螺旋CT肺动脉造影以其高特异性和逐步提高的敏感性正渐渐取代选择性肺动脉造影:Salah D Qanadli等认为,多层螺旋CT肺动脉造影(MSCTPA)能取代肺动脉造影。作者结合文献,回顾性分析了2004-10-2006-04经我院MSCT诊断的26例肺动脉栓塞患者的CT造影图像,以期增进对肺动脉栓塞的认识并提高诊断能力。
出处
《医用放射技术杂志》
2006年第9期93-94,共2页
Journal of Medical Radiology Technology
参考文献9
-
1alah D Qanadli, Mostafa El Hajjam, Benoit Mesurolle,et al. Pulmonary Embolism Detection: Prospective Evaluation of Dula - section Helical CT versus ,Selective Pulmonary Arteriography in 157 patients[J]. Radiology,2000, 217: 447-455.
-
2Mayo JR, Remy-Jarden M, Muller, NI., et al. Pulmonary embolism prospective comparism of spiral CT with ventilation perfusion sl.intigraphy[J] .Radiology,1997, 205: 447.
-
3袁涛,于铁链,吴琦,周伟.肺动脉栓塞的螺旋CT肺动脉造影征象、分型及演变[J].临床放射学杂志,2004,23(9):762-766. 被引量:25
-
4Hampton AO, Castleman B. Correlation of postmortem chest teleroentenograsms with autopsy tindings: with special reference to pulmonary embolism and infarction[J].AJR, 1980, 43: 35.
-
5Kelley MJ, Elliott LP. The radiographic evaluati of the patient with suspected pulmonary thrombocmholi diSease[J]. Med Clin North Am, 1975, 59: 3.
-
6戴建英.实用内科学[M].北京:人民卫生出版社,1994.885-887.
-
7Teign CL, Mans TP, Sheedy PF, et al. Pulmonary Embolism diagnosis withcontrast - enhanced electrom-bean Ctand Comparism with pulmonary angiography[J].Radiology, 1995, 194 : 313-319.
-
8Martin R, Jacques R, dominique A, et al. peripheral pulmonary arteries; Optimization of the spiral Ctacquisition protocol Thoracic[J]. Radiology, 1997, 204:157-163.
-
9李永忠,李坤成,刘健.亚秒级螺旋CT肺动脉造影检测段与亚段肺动脉[J].中国医学影像技术,2001,17(12):1167-1169. 被引量:8
二级参考文献23
-
1Mayo JR, Remy-Jardin M, Müller NL,et al. Pulmonary embolism: prospective comparison of spiral CT with ventilation-perfusion scintigraphy. Radiology, 1997, 205:447
-
2Kim K, Müller NL, Mayo JR. Clinically suspected pulmonary embolism: utility of spiral CT. Radiology, 1999, 210:693
-
3Grenier PA, Beigelman C. Spiral computed tomographic scanning and magnetic resonance angiography for the diagnosis of pulmonary embolism. Thorax, 1998, 53(suppl 2):525
-
4van Rossum AB, Bongaert AHH, Wooddard PK. Helical computed tomography and pulmonary thromboembolism. In: Oudkerk M, van Beed EJR, ten Cate JW eds. Pulmonary Embolism, Epidemiology, diagnosis and treatment. Berlin, Blackwell Scinence, 1999, 192
-
5Coche EE, Müller NL, Kim K,et al. Acute pulmonary embolism: Ancillary findings at spiral CT. Radiology, 1998, 207:753
-
6Ley S, Kreitner KF, Morgenstern I,et al. Bronchopulmonary shunts in patients with chronic thromboembolic pulmonary hypertension: Evaluation with helical CT and MR imaging. AJR, 2002, 179:1209
-
7Remy -Jardin M, Remy J, Louvegny S,et al. Airway changes in chronic pulmonary embolism: CT findings in 33 patients. Radiology, 1997, 203:355
-
8王乐民,魏林,主编.肺栓塞与深静脉血栓形成.北京:人民卫生出版社,2001,13
-
9Ghaye B, Szapiru D, Mastura L,et al. Peripheral pulmonary arteries: how far in the long does multi-detector row spiral CT allow analysis? Radiology, 2001, 219:629
-
10Hampton AO, Castleman B. Correlation of postmortem chest teleroentgenograsms with autopsy findings: with special reference to pulmonary embolism and infarction. AJR, 1940, 43:305
共引文献34
-
1左敏静,李晓,黄小宁,孟新萍,蔡炳宗.多层螺旋CT在肺动脉栓塞诊断中的应用及临床价值[J].江西医学院学报,2009,49(5):59-60. 被引量:2
-
2陈勇,郭玉林,龚瑞,朱力,罗乐.多层螺旋CT肺动脉造影在急性肺栓塞诊断中的应用价值[J].宁夏医学院学报,2004,26(5):335-337. 被引量:5
-
3何俊诗.肺血栓栓塞症的X线及CTA表现[J].实用医技杂志,2005,12(12A):3387-3389. 被引量:2
-
4娄晓宇,李灼,林运智.螺旋CT血管造影在肺动脉栓塞诊断中的应用[J].华北煤炭医学院学报,2005,7(6):753-753.
-
5周旭辉,李菁,李子平,谭国胜,李向民,陈境弟.肺动脉栓塞中发生肺梗死的CT表现及相关因素分析[J].中华放射学杂志,2006,40(5):502-506. 被引量:23
-
6梁治平,步军,曾旭文.肺动脉栓塞影像学诊断进展[J].现代临床医学生物工程学杂志,2006,12(1):47-49.
-
7陈祖华,余日胜,张德钧.肺栓塞的多排螺旋CT肺动脉造影诊断[J].实用放射学杂志,2006,22(7):800-803. 被引量:10
-
8赵菊环,张国富,刘琳香.螺旋CT肺动脉造影在诊断肺栓塞中的应用[J].中国基层医药,2007,14(1):32-33. 被引量:2
-
9丁国成,王杰,王伟芳,黄淑琴,刘宝峰.螺旋CT血管造影诊断肺动脉栓塞的临床价值[J].内蒙古医学杂志,2007,39(1):50-51.
-
10孙俊杰,吴天.肺动脉栓塞的螺旋CT诊断[J].实用医学影像杂志,2007,8(3):142-143.
同被引文献5
-
1McCotter CJ, Otiang KS, Fearfington EL. Intrapulmonary artery infusion of urokinase for treatment of massive pulmonary embolism:revlew of 26 patients with and without contraindications to systemic thrombolytic therapy[J]. CAin Caridol, 1999,22:661 - 664.
-
2Teign CL, Marts TP, Sheedy PF, et al. Pulmonary embolism diagnosis with contrast-enhanced electron-bean CT and comparism with pulmonary angiography[J]. Radiology, 1995,194:313 - 319.
-
3Schoepf UJ, Helmberger T, Holzknecht N, et al. Seonental and subsegmental pulmonary arteries: evaluation with electron-bean versus spiral CT[J]. Radiology ,2000,214:433 - 439.
-
4Remy J, Remy J. Spiral CT angiography of the pulmonary circulation [J]. Radiology, 1999,212:615 - 636.
-
5戴汝平.重视肺动脉栓塞的影像学诊断[J].中华放射学杂志,1999,33(5):293-294. 被引量:200
二级引证文献3
-
1游佳,陈卉.数字图像中血管的分割与特征提取[J].生物医学工程与临床,2011,15(1):91-95. 被引量:2
-
2陈刚,吕煊,王志成,陈宇飞.肺CT图像的血管骨架化方法[J].计算机科学,2013,40(5):274-278. 被引量:10
-
3樊红霞,李相生,毕永民,方红,宋云龙,王萍,龚万沣,张秀兰,张挽时.小剂量团注测试扫描技术减少肺动脉CT血管成像造影剂剂量及浓度的可行性研究[J].中国分子心脏病学杂志,2015,15(6):1502-1506. 被引量:12
-
1王新宇.多层螺旋CT诊断急性肺动脉栓塞[J].山西医药杂志(下半月),2009,38(5):414-415.
-
2于芬,木合拜提.买合苏提,刘文亚,党军,王海涛,杨文,金道准.多层螺旋CT肺动脉造影评价肺动脉栓塞的发生部位及其规律[J].临床放射学杂志,2009,28(7):937-940. 被引量:3
-
3田秀文,侯新垓,张冰景.高分辨率CT在肺栓塞临床诊断中的应用(附8例报告)[J].咸宁学院学报(医学版),2007,21(2):156-157.
-
4王保法,马俊义,左竹林,孙以瑜,李淑芝,王芷海.选择性肺动脉造影对肺癌的诊断价值[J].河北医药,1989,11(5):302-303.
-
5周玉娥,刘国玉.肺栓塞病人行64层螺旋CT检查的护理[J].护理研究(中旬版),2010,24(3):727-728. 被引量:5
-
6高光华,彭整军.误诊为左心衰竭的肺栓塞12例报告[J].沈阳部队医药,2001,14(4):353-354.
-
7刘双.认识肺栓塞[J].工会博览,1999,0(12):41-41.
-
8潘微,李渝芬,李国业,陆骊工,王树水.选择性肺动脉造影对先天性心脏病合并肺动脉高压的肺血管评价[J].中华儿科杂志,2002,40(2):111-112. 被引量:3
-
9汪家坤,惠复新.肺栓塞10例临床分析[J].南通医学院学报,2003,23(4):459-459.
-
10李希芳.肺血栓栓塞症误诊17例分析[J].中国误诊学杂志,2012,12(6):1367-1368.