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螺旋CT血管造影对肿瘤累及纵隔大血管的诊断价值
引用本文:李恒艳,艾仕文,刘俊业,杨涛,王世东,柳善刚. 螺旋CT血管造影对肿瘤累及纵隔大血管的诊断价值[J]. 中国冶金工业医学杂志, 2004, 21(6): 481-482
作者姓名:李恒艳  艾仕文  刘俊业  杨涛  王世东  柳善刚
作者单位:1. 莱芜钢铁集团有限公司医院影像科,山东莱芜,271104
2. 莱芜钢铁集团有限公司医院心胸外科,山东莱芜,271104
摘    要:目的:评价螺旋CT血管造影(CTA)判断肿瘤侵犯纵隔血管的准确性。方法:对28例术前诊断有血管受累的纵隔及肺部肿瘤病人行螺旋CT横断增强检查,进行曲面重建及多平面重建.并经工作站将数据分析后,将病例分为两组分析肿瘤与血管的关系,并以手术结果为标准,对比增强横断面CT和CTA图像,判断肿瘤侵犯血管准确性的差并。结果:CTA判断血管与肿瘤关系的正确率高于横断面CT(0.01<P<0.025)。结论:螺旋CT血管造影是一种无创检查纵隔血管受累情况的可靠方法,在临床诊断中可起到重要作用。

关 键 词:螺旋CT 纵隔大血管 CTA X线计算机体层摄影术 血管造影术 肿瘤浸润 纵隔肿瘤
文章编号:1005-5495(2004)06-0481-02
修稿时间:2004-02-24

The value of spiral CT angiography in diagnosis of mediastinum vascular involvement
LI Heng yan ,AI Shi wen ,LIU Jun ye ,et al.. The value of spiral CT angiography in diagnosis of mediastinum vascular involvement[J]. Chinese Medical Journal of Metallurgical Industry, 2004, 21(6): 481-482
Authors:LI Heng yan   AI Shi wen   LIU Jun ye   et al.
Affiliation:LI Heng yan 1,AI Shi wen 2,LIU Jun ye 1,et al.Department of Imaging,Hospital of LISCO,Laiwu 271104
Abstract:Objective:To evaluate the accuracy of spiral CT angiography(CTA)in judging mediastinum vascular involvement from tumor.Methods:Spiral CT contrast was done in 28 patients who were diagnosed preoperatively as having lung or mediastinum tumor involved vessels.Date transferred to and performed post-process in workstation.Then the relation between tumor and vessels was assessed on both axial CT and CTA images on four grades.At surgery and pathology,the relation was analyzed on four grades too.Results:Compared with axial CT images,CTA was more accurate in judging the relation between mediastinum vascular and tumor.And the correlation of CTA imaging features with surgical findings was much better(0.01
Keywords:Mediastinum tumor Neoplasm invasiveness Angiography Tomography X-ray compute
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