多层螺旋CT肺动脉成像诊断急诊肺动脉栓塞
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摘要
目的分析多层螺旋CT肺动脉成像在诊断急诊肺动脉栓塞中的临床价值。方法 2016年8月—2018年4月,回顾性选择我院收诊的80例急诊肺动脉栓塞患者,均进行多层螺旋CT肺动脉成像与MRI检查,观察比较检查结果。结果 (1)多层螺旋CT显示,肺动脉栓塞显示率为100%,图像质量为(3.52±0.83)分,扫描时间为(15.30±4.59)s,MRI扫描显示,肺动脉栓塞显示率为100%,图像质量为(3.29±0.98)分,扫描时间为(411.80±134.85)s,两种检查方式在扫描时间方面差异有统计学意义(P <0.05)。(2)多层螺旋CT肺动脉成像显示,43例急性栓塞,占53.75%,37例慢性栓塞,占46.25%,49例单侧栓塞,占61.25%,31例双侧栓塞,占38.75%。结论多层螺旋CT肺动脉成像诊断急诊肺动脉栓塞,检出率高,图像质量高,影像征象明显,为临床诊断提供可靠依据。
Objective To analyze the clinical value of multi-slice spiral CT pulmonary angiography in the diagnosis of emergency pulmonary embolism. Methods From August 2016 to April 2018, 80 cases of emergency pulmonary artery embolization in our hospital were selected, and all the patients were performed multi-slice spiral CT pulmonary angiography and MRI examination, and the results were observed and compared. Results(1) Multislice spiral CT showed that the rate of pulmonary artery embolization was 100%, the image quality was(3.52 ± 0.83), and the scanning time was(15.30±4.59) s. The MRI scan showed that the rate of pulmonary embolism was 100%, the image quality was(3.29 ± 0.98), the scanning time was(411.80 ± 134.85) s, and there was significant difference in scanning time between the two methods(P < 0.05).(2) Multi-slice spiral CT pulmonary angiography showed that 43 cases of acute embolism, accounting for 53.75%, 37 cases of chronic embolism, accounting for 46.25%, 49 cases of unilateral embolism, accouhting for 61.25%, 31 cases of bilateral embolism, accounting for 38.75%. Conclusion The diagnosis of emergency pulmonary embolism with multi-slice spiral CT pulmonary artery angiography has high detection rate, high image quality and obvious image signs, which provides a reliable basis for clinical diagnosis.
Objective To analyze the clinical value of multi-slice spiral CT pulmonary angiography in the diagnosis of emergency pulmonary embolism. Methods From August 2016 to April 2018, 80 cases of emergency pulmonary artery embolization in our hospital were selected, and all the patients were performed multi-slice spiral CT pulmonary angiography and MRI examination, and the results were observed and compared. Results(1) Multislice spiral CT showed that the rate of pulmonary artery embolization was 100%, the image quality was(3.52 ± 0.83), and the scanning time was(15.30±4.59) s. The MRI scan showed that the rate of pulmonary embolism was 100%, the image quality was(3.29 ± 0.98), the scanning time was(411.80 ± 134.85) s, and there was significant difference in scanning time between the two methods(P < 0.05).(2) Multi-slice spiral CT pulmonary angiography showed that 43 cases of acute embolism, accounting for 53.75%, 37 cases of chronic embolism, accounting for 46.25%, 49 cases of unilateral embolism, accouhting for 61.25%, 31 cases of bilateral embolism, accounting for 38.75%. Conclusion The diagnosis of emergency pulmonary embolism with multi-slice spiral CT pulmonary artery angiography has high detection rate, high image quality and obvious image signs, which provides a reliable basis for clinical diagnosis.
引文
[1]崔英才,孔丽娟,王力泽.多层螺旋CT肺动脉成像在诊断急诊肺动脉栓塞中的临床价值[J].中国CT和MRI杂志,2017,15(4):77-79.
[2]朱宁,高回青,王玉涛,等.256层i CT肺动脉造影对肺动脉栓塞的诊断价值[J].医学影像学杂志,2016,26(2):231-233,238.
[3]孙长青,徐炳福,刘兰,等.肺通气灌注显像与64排CT肺动脉造影在肺动脉栓塞诊断中的比较研究[J].中国医学装备,2016,13(3):61-64.
[4]王俊锋,王会轩,高朝前.多层螺旋CT和MR肺动脉成像诊断急性肺动脉栓塞的对比研究[J].临床肺科杂志,2016,21(6):1055-1057.
[5]陈天明,杨锁平,李任翔.多层螺旋CT肺动脉成像诊断肺动脉栓塞的临床价值[J].中国CT和MRI杂志,2016,14(6):38-40.
[6]马育霞,刘毅,王鹏升,等.急诊疑似急性肺动脉栓塞诊断中Wells评分应用价值探讨[J].中国煤炭工业医学杂志,2015,18(3):381-383.
[7]李卫星,姚菁菁.双源CT双能量肺动脉血管成像技术早期诊断肺动脉栓塞患者的实效性评价[J].中国CT和MRI杂志,2015,13(3):36-38.
[8]张超.增强核磁共振肺灌注扫描技术与增强核磁共振肺动脉造影术对肺动脉栓塞的诊断价值对比分析[J].中国CT和MRI杂志,2015,13(5):41-44.
[9]陈建平,石红建,龚波.多层螺旋CT肺动脉成像在肺动脉栓塞诊断中的临床价值[J].中国现代医生,2015,53(15):124-126,161.
[10]董志辉.多层螺旋CT肺动脉成像诊断肺动脉栓塞的效果分析[J].社区医学杂志,2018,16(10):76-77.
[11]谭晶.多层螺旋CT肺动脉成像对肺动脉栓塞的诊断价值分析与研究[J].中国医疗器械信息,2017,23(22):48-49.
[12]张延军,张俊艳,张延红,等.多层螺旋CT和MR肺动脉成像诊断急性肺动脉栓塞的对比研究[J].影像研究与医学应用,2018,2(3):48-50.
[2]朱宁,高回青,王玉涛,等.256层i CT肺动脉造影对肺动脉栓塞的诊断价值[J].医学影像学杂志,2016,26(2):231-233,238.
[3]孙长青,徐炳福,刘兰,等.肺通气灌注显像与64排CT肺动脉造影在肺动脉栓塞诊断中的比较研究[J].中国医学装备,2016,13(3):61-64.
[4]王俊锋,王会轩,高朝前.多层螺旋CT和MR肺动脉成像诊断急性肺动脉栓塞的对比研究[J].临床肺科杂志,2016,21(6):1055-1057.
[5]陈天明,杨锁平,李任翔.多层螺旋CT肺动脉成像诊断肺动脉栓塞的临床价值[J].中国CT和MRI杂志,2016,14(6):38-40.
[6]马育霞,刘毅,王鹏升,等.急诊疑似急性肺动脉栓塞诊断中Wells评分应用价值探讨[J].中国煤炭工业医学杂志,2015,18(3):381-383.
[7]李卫星,姚菁菁.双源CT双能量肺动脉血管成像技术早期诊断肺动脉栓塞患者的实效性评价[J].中国CT和MRI杂志,2015,13(3):36-38.
[8]张超.增强核磁共振肺灌注扫描技术与增强核磁共振肺动脉造影术对肺动脉栓塞的诊断价值对比分析[J].中国CT和MRI杂志,2015,13(5):41-44.
[9]陈建平,石红建,龚波.多层螺旋CT肺动脉成像在肺动脉栓塞诊断中的临床价值[J].中国现代医生,2015,53(15):124-126,161.
[10]董志辉.多层螺旋CT肺动脉成像诊断肺动脉栓塞的效果分析[J].社区医学杂志,2018,16(10):76-77.
[11]谭晶.多层螺旋CT肺动脉成像对肺动脉栓塞的诊断价值分析与研究[J].中国医疗器械信息,2017,23(22):48-49.
[12]张延军,张俊艳,张延红,等.多层螺旋CT和MR肺动脉成像诊断急性肺动脉栓塞的对比研究[J].影像研究与医学应用,2018,2(3):48-50.