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16层螺旋CT与核素肺灌注/通气显像对肺动脉栓塞的诊断价值
引用本文:戴国华,周巍,杜湘珂,李志远,刘海霞,张晓明. 16层螺旋CT与核素肺灌注/通气显像对肺动脉栓塞的诊断价值[J]. 实用放射学杂志, 2004, 20(12): 1073-1075
作者姓名:戴国华  周巍  杜湘珂  李志远  刘海霞  张晓明
作者单位:1. 河北医科大学附属唐山工人医院放射科,河北,唐山,063000
2. 解放军323医院放射科
3. 北京大学人民医院放射科
4. 河北医科大学附属唐山工人医院核医学科,河北,唐山,063000
摘    要:目的 探讨 16层螺旋CT与核素肺灌注 /通气显像对急性肺动脉栓塞的诊断价值。方法 回顾 3 2例临床确诊的肺动脉栓塞病人的影像资料 (螺旋CT平扫加增强扫描 ,核素肺灌注 /通气显像扫描 ) ,进行对比分析。结果 螺旋CT增强检查的病变检出率为 90 .6% ,段级肺动脉栓塞受累率为 43 .2 % ,核素肺灌注 /通气显像检查病变检出率为 84.4% ,肺段栓塞受累率为 3 6.8%。结论 螺旋CT增强检查是观察肺动脉栓塞直接征象的理想方法 ,与核素肺显像相结合 ,更能全面分析病情。

关 键 词:肺动脉栓塞  体层摄影术  X线计算机  放射性核素显像
文章编号:1002-1671(2004)12-1073-04
修稿时间:2004-06-18

Diagnostic Value of Sixteen Slice SCT and Pulmonary Perfusion/ventilation Imaging in Pulmonary Embolism
DAI Guo-hua,ZHOU Wei,DU Xiang-ke,LI Zhi-yuan,LIU Hai-xia,ZHANG Xiao-ming. Diagnostic Value of Sixteen Slice SCT and Pulmonary Perfusion/ventilation Imaging in Pulmonary Embolism[J]. Journal of Practical Radiology, 2004, 20(12): 1073-1075
Authors:DAI Guo-hua  ZHOU Wei  DU Xiang-ke  LI Zhi-yuan  LIU Hai-xia  ZHANG Xiao-ming
Abstract:Objective To evaluate the value of the sixteen slice spiral CT and pulmonary perfusion/ventilation imaging in diagnosis of pulmonary embolism.Methods Imaging data (spiral CT scanning plus enhanced scanning and pulmonary perfusion/ventilation imaging) in 32 cases diagnosed as pulmonary embolism were retrospectively compared and analyzed.Results The detecting rate of spiral CT enhanced scanning was 90.6%.Pulmonary segments involved in 43.2%, while the detecting rate of the pulmonary perfusion and ventilation imaging was 84.4% and the involved rate of pulmonary embolism was 36.8% ,respectively.Conclusion Spiral CT enhanced scanning is a perfect method for observing direct sign of pulmonary embolism, especially combined with pulmonary perfusion/ventilation imaging.
Keywords:pulmonary embolism  tomography   X-ray computed  radionuclide imaging
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