慢性血栓栓塞性肺动脉高压诊疗的研究进展

慢性血栓栓塞性肺动脉高压(CTEPH)是急性肺栓塞最严重的并发症,由于缺乏特异性的临床表现,常常会漏诊,造成患者死亡。近年来,虽然多种影像技术已应用于CTEPH 患者,但在CTEPH 的诊断、预后及治疗的选择决策上仍有不确定性,熟练掌握各类影像技术特点,可提升利用率。目前肺动脉内膜剥脱术是治疗CTEPH 的首选方式,对于无法手术治疗的患者,经皮肺动脉成形术可作为一种新的治疗选择。本文主要综述了影像学检查在CTEPH 的诊断、治疗及预后评估中的研究进展。

Progress on diagnosis and treatment of chronic thromboembolic pulmonary hypertension

Chronic thromboembolic pulmonary hypertension (CTEPH) is the most serious complication of acute pulmonary embolism. Due to the lack of specific clinical manifestations, it is usually missed diagnosed and maybe cause death. In recent years, although a variety of imaging tcchniqucs have been applied on patients with CTEPH, there is still uncertainty in the decision making of CTEPH diagnosis, prognosis and treatment. Proficiency in various imaging techniques can improve utilization. At present, pulmonary endarterectomy is the first choice for the treatment of CTEPH. For patients who cannot be treated surgically, percutaneous pulmonary angioplasty is a new treatment option. This article reviews the advances in imaging studies on the diagnosis, treatment, and prognosis of CTEPH.