摘要
目的探讨低对比剂用量高注射速率肺动脉CT血管造影(CTPA)在肺栓塞患者诊断中应用。方法收集松原吉林油田医院2018年1月至2019年1月行CTPA检查患者80例,根据对比剂用量及注射速率分为A和B两组,每组40例,A组给予碘海醇40 ml,注射速率5 ml/s,B组给予碘海醇65 ml,注射速率3 ml/s;统计分析肺动脉干至亚段肺动脉栓子数,图像质量采用主观评价。结果医师A评价,A组患者图像评价合格率为95.00%高于B组患者75.00%;医师B评价,A组患者图像评价合格率为95.00%高于B组患者75.00%,差异有统计学意义(P<0.05);A组患者共检出947个肺动脉栓子,高于B组患者730个肺动脉栓子。结论低对比剂用量、高注射速率CTPA可以在减少对比剂用量的同时,提高肺动脉栓子检出数量,获得更为优质的图像。
Objective To investigate the application of low contrast agent and high injection rate pulmonary angiography(CTPA)in the diagnosis of pulmonary embolism.Method Eighty patients with CTPA from January 2018 to January 2019 in Jilin Oilfield Hospital of Songyuan were collected.According to the dosage and injection rate of contrast agent,they were divided into two groups:group A and B,40 cases in each group.Group A received 40 ml of iohexol,5 ml/s of injection rate,group B 65 ml of iohexol,3 ml/s of injection rate.The number of pulmonary artery emboli from trunk to sub segment was statistically analyzed,and the image quality was subjective evaluated.Result According to doctor A's evaluation,the qualified rate of image evaluation in group A was 95.00%higher than that in group B;according to doctor B's evaluation,the qualified rate of image evaluation in group A was 95.00%higher than that in group B(P<0.05);947 pulmonary emboli were detected in group a,which was 730 higher than that in group B.Conclusion CTPA with low contrast agent and high injection rate can reduce the amount of contrast agent and increase the number of pulmonary embolism detection,so as to obtain better images.
作者
臧文远
王炬玮
张晶石
谷瓅
刘艳华
Zang Wenyuan;Wang Juwei;Zhang Jingshi;Gu Li;Liu Yanhua(Department of CT,Songyuan Jilin Oilfield Hospital,Songyuan 138000,Jilin,China;Department of Hematology and Oncology,Songyuan Jilin Oilfield Hospital,Songyuan 138000,Jilin,China;Department of MRI,Songyuan Jilin Oilfield Hospital,Songyuan 138000,Jilin,China)
出处
《血管与腔内血管外科杂志》
2020年第2期141-143,162,共4页
Journal of Vascular and Endovascular Surgery
关键词
肺栓塞
肺动脉
肺动脉成像
pulmonary embolism
pulmonary artery
pulmonary artery imaging
