探讨多层螺旋CT在肺动脉栓塞中的临床应用

目的分析多层螺旋CT在肺动脉栓塞患者临床诊断中的应用价值。方法选取2010年1月—2013年12月期间我院收治的74例肺部动脉栓塞患者作为观察对象,所有患者均经16层CT配合MPB、MIP及VR进行高效处理进行诊断,回顾性分析本组患者的影像学情况。结果本组74例患者经多层螺旋CT检查后,本组74例患者中,病变共受累肺动脉485支,其中显示栓塞左/右肺动脉10支,亚段肺动脉207支,叶肺动脉117支,段肺动脉151支。结论多层螺旋CT在PE的临床诊断中具有无创、高效、准确率高等特点,尤其是对亚段PE的敏感性非常高,可以作为今后临床中关于PE的首选诊断方法。

To explore the clinical application of multislice spiral CT in pulmonary embolism

Objective To analyze the clinical application value of multi-slice spiral CT in the diagnosis of pulmonary embolism patients. Methods 74 cases of pulmonary artery embolism in our hospital were selected from 2010 January to 2013 period of December as the research object of observation, all patients were treated with 16 layers of CT with MPB, MIP and VR for efficient processing diagnosis, retrospective analysis of the patients imaging conditions. Results In this group, 74 patients were treated by multi-slice spiral CT examination, the group of 74 patients, lesions were involved and 485 pulmonary arteries, which displays the embolization of the left / right pulmonary artery in 10 branches, sub segmental pulmonary arteries in 207 branches, leaves and 117 pulmonary arteries, 151 pulmonary artery segments. Conclusion The clinical diagnosis value of multi-slice spiral CT in pulmonary embolism with noninvasive, high efficiency, high accuracy, especially the sensitivity of subsegmental pulmonary embolism is very high, can be used as the preferred diagnostic method of pulmonary embolism in future clinical.