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主肺动脉与右心室肥大相关性的CT研究
引用本文:高代平,林文武,林军,莫友发,张礼鹃,陈伟琼.主肺动脉与右心室肥大相关性的CT研究[J].国际医药卫生导报,2011,17(4):385-387.
作者姓名:高代平  林文武  林军  莫友发  张礼鹃  陈伟琼
作者单位:高代平 (东莞市虎门医院放射科,523902) ; 林文武 (东莞市虎门医院B超室,523902) ; 林军 (东莞市虎门医院门诊部,523902) ; 莫友发 (东莞市虎门医院放射科,523902) ; 张礼鹃 (东莞市虎门医院放射科,523902) ; 陈伟琼 (东莞市虎门医院放射科,523902) ;
基金项目:东莞市医药卫生科技项目
摘    要:目的 研究主肺动脉与右心室肥大的相关性.方法 随机选择具有慢性阻塞性肺部疾病患者60例进行CT扫描,根据心电图、超声心动图结果分为右心室肥大组(研究组)和右心室不肥大组(对照组)各30例,在CT上测量主肺动脉直径(MPAD)和升主动脉直径(AAD),计算其比值(MPAD/AAD).结果 于MPAD/AAD≤1.1时,两...

关 键 词:慢性阻塞性肺部疾病  主肺动脉  右心室肥大  CT测量

CT study on correlation between main pulmonary artery and right ventricular hypertrophy
GAO Dai-ping,LIN Wen-wu,LIN Jun,MO You-fa,ZHANG Li-juan,CHEN Wei-qiong.CT study on correlation between main pulmonary artery and right ventricular hypertrophy[J].International Medicine & Health Guidance News,2011,17(4):385-387.
Authors:GAO Dai-ping  LIN Wen-wu  LIN Jun  MO You-fa  ZHANG Li-juan  CHEN Wei-qiong
Institution:GAO Dai-ping(Radiology Department, Humen Hospital of Dongguan, Dongguan 523902, China) LIN Wen-wu LIN Jun MO You-fa(Radiology Department, Humen Hospital of Dongguan, Dongguan 523902, China) ZHANG(Radiology Department, Humen Hospital of Dongguan, Dongguan 523902, China) Li-juan(Radiology Department, Humen Hospital of Dongguan, Dongguan 523902, China) CHEN Wei-qiong(Radiology Department, Humen Hospital of Dongguan, Dongguan 523902, China)
Abstract:Objective To investigate the correlation between main pulmonary artery and right ventricular hypertrophy. Methods 60 patients with chronic obstructive pulmonary disease were randomly selected and examined with CT scan, under the electrocardiogram, ultrasound and divided into the right ventricular hypertrophy group (observation group) and no right ventricular hypertrophy group (control),30 patients for each. Main pulmonary artery diameter (MPAD) and ascending aorta diameter (AAD) were measured on the CT to calculate the ratio (MPAD/AAD). Results When the MPAD/AAD≤ 1.1, there was no significant difference between the two groups; while MPAD/AAD > 1.1, the two groups were significantly different(P<0.01); when the MPAD/AAD>1.1, it predicts the sensitivity, specificity and positive predictive value of right ventricular hypertrophy were 86.7%, 96.7%, 96.3% respectively. Conclusion MPAD/AAD>1.1 could be a new target for CT diagnosis to right ventricular hypertrophy.
Keywords:Chronic obstructive pulmonary disease(COPD)  Main pulmonary artery  Right ventricular hypertrophy  CT measurements
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