多层螺旋CT血管造影在下肢血管损伤性疾病中的临床应用_临床医学论文.docVIP

多层螺旋CT血管造影在下肢血管损伤性疾病中的临床应用_临床医学论文 多层螺旋CT血管造影在下肢血管损伤性疾病中的临床应用_临床医学论文 【摘要】 目的 评价多层螺旋CT血管造影(MSCTA/CTV)在下肢血管损伤性疾病中的应用价值。方法 回顾性分析31例下肢血管损伤MSCTA/CTV造影检查资料。采用增强后容积扫描,速度优先模式。延迟时间：动脉期为30s～35s,静脉期为120～150s。图像传至AW 4.0工作站，使用4种后处技术进行图像重建。结果 经MSCTA/CTV检查，诊断为单纯动脉损伤者10例，其中股动脉8例，髂外动脉2例，动、静脉同时损伤者4例,外伤性假性动脉瘤3例，髂外血管动静脉瘘1例；因肌肉软组织血肿压迫导致血管狭窄,闭塞者17例。结论 MSCTA/CTV能较好地显示下肢血管病变的解剖细节，为临床制定治疗方案提供准确的诊断依据，是下肢血管损伤性疾病较为理想的检查方法。 【关键词】 下肢血管 损伤 体层摄影术 X线计算机 血管造影术 　　Absrtact ：Objective To evaluate the technique of three dimensional angiograph/phlebography(3DCTA/CTV) with multislice spiral CT and its clinical application in trauma to blood vessel of the lower extremities. Methods data of multislice spiral CT angiograph/phlebography(3DCTA/CTV) of 31 patients with clinical suspected trauma to blood vessel of the lower extremities were retrospectively reviewed. Applying different scanning technique according to the trauma of artery and/or vein of the lower extremities, data were collected and postprocessed by 4 kind of techniques in workstation. Results Spacial relationship, anatomical details and the relationship with peripheral soft tissue of blood vessels in lower extremities could be shown by reorganized 3D images in all of patients. Within 4 kind of postprocessing techniques, MIP was the optimal method for diagnosing all patients and 2DMIP of MPR was another useful way for diagnosing patients with trauma of vein solo of the lower extremities. Conclusion Recognition MSCTA/CTV could be an ideal method in diagnosing the trauma to blood vessel of the lower extremities for providing high quality images of anatomical details and useful information for clinical diagnosis and treatment planning. 　　Key words: blood vessel of lower extremities; trauma; tomography; X 　　多层螺旋CT血管造影(MSCTA/CTV)以其方便、快捷、准确无创的优势为创伤性下肢血管损伤性疾病的诊断提供了新的检查方法，本文回顾分析了利用MSCTA/CTV诊断的31例创伤性下肢血管损伤患者的临床资料，以提高MSCTA/CTV技术对下肢血管损伤性疾病的诊断水平。 　　1 材料和方法 　　1.1 临床资料 收集本院2002年10月～2006年12月经MSCTA/CTV血管造影诊断，并经手术证实的下肢血管损伤患者31例，男27例，女4例，年龄21～67岁，平均35.5岁。全部病例