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多层螺旋CT在肺栓塞诊断中的应用
引用本文:蔡欣,邓宇.多层螺旋CT在肺栓塞诊断中的应用[J].中国医学影像技术,2005,21(4):562-564.
作者姓名:蔡欣  邓宇
作者单位:广州医学院第一附属医院放射科,广东,广州,510120
摘    要:目的探讨多层螺旋CT在肺栓塞诊断中的临床意义及价值, 分析其CT表现.方法应用多层螺旋CT机对27名肺栓塞病人进行肺动脉增强扫描, 将图像进行多平面(MPR)、曲面(CPR)及斜面(Oblique)重组再处理.结果 27例病人共发现肺动脉栓子146个,其中左及右肺动脉7个,肺叶动脉34个,肺段动脉99个,肺亚段动脉6个.结论多层螺旋CT增强扫描可清楚显示段以上肺动脉血栓栓子,具有方便、快捷、无创、准确的优点,对及时诊断和治疗有着重要的意义,并能有效评估溶栓治疗后的效果.

关 键 词:肺栓塞  体层摄影术  X线计算机  诊断显像
文章编号:1003-3289(2005)04-0562-03
收稿时间:2004/12/13 0:00:00
修稿时间:2004年12月13

Multislice spiral CT in diagnosis of pulmonary embolism
CAI Xin and DENG Yu.Multislice spiral CT in diagnosis of pulmonary embolism[J].Chinese Journal of Medical Imaging Technology,2005,21(4):562-564.
Authors:CAI Xin and DENG Yu
Institution:Department of Radiology, the First Affiliation Hospital of Guangzhou Medical College, Guangzhou 510120, China;Department of Radiology, the First Affiliation Hospital of Guangzhou Medical College, Guangzhou 510120, China
Abstract:Objective To study the clinical application of multislice spiral CT (MSCT) in the diagnosis of pulmonary embolism(PE), and to analyze the CT features of PE. Methods Twenty-seven cases of PE were examined with contrast-enhanced CT by using MSCT. The images were reprocessed with multi-planar reconstructions and CPR, as well as oblique in the computer workstation. Results A total of 146 pieces of emboli were found in 27 cases, among which 7 pulmonalis dextra arteria and 34 pulmonalis lobar arteria, 99 pulmonalis segmental arteria were found. Conclusion Thrombus in the pulmonary segmental artery and lobar artery can be clearly demonstrated on contrast-enhanced MSCT.
Keywords:Pulmonary embolism  Tomography X-ray computed  Diagnostic imaging
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