256层螺旋CT血管成像诊断肺动脉栓塞的价值
董备
【期刊名称】《中国伤残医学》 【年(卷),期】2013(000)007
【摘要】Objective:To study the diagnostic value of 256 multi-slice spiral CT pulmonary angiography ( MSCTPA ) for pulmonary embolism ( PE) .Methods:scans were performed in 38 patients with PE , the contrast -enhanced SCT scans of the pulmonary arteries were performed,MPR, MIP and VR were performed simultaneously .Results:29 cases of acute pulmonary embolism performanced:Center type filling defect of 17 cases (58.6%), Eccentric type filling defect in 5 patients (17.2%), Completely occlusion type filling defect in 7 patients (24.1%),9 cases of chronic pulmonary embolism performance for mural type filling defect .Conclusion:For PE the 256 multi-slice spiral CT pulmonary angiography ( MSCTPA ) was a good method .%目的:探讨256层螺旋CT肺动脉血管成像(MSCTPA)技术对肺动脉栓塞(PE)的诊断价值。方法:收集经MSCTPA检查并证实为PE的患者38例,采用philips256层螺旋CT行肺动脉增强检查并行多平面重建( MPR)、最大强度投影( MIP)和容积再现(VR)。结果:29例急性肺栓塞表现为:中心型充盈缺损17例(58.6%),偏心型充盈缺损5例(17.2%),完全闭塞型充盈缺损7例(24.1%),9例慢性肺栓塞表现为附壁型充盈缺损。结论:256层螺旋CT血管成像是确诊PE理想的检查方法。