多层螺旋CT肺动脉造影在肺栓塞诊断中的应用.pdfVIP

中国医学影像技术 2008 年第 24 卷增刊 　Chi n J Med Imaging Technol ,2008 ,Vol 24 , Suppl ·8 1 · 　胸部影像学 The a p pl ica t ion of pneumoan giogr a phy with mult i2sl ice CT in t he diagn osis of pul monary embolism 3 YU Li ng2w ei , P E N G Ha i2ten g , HU J in2yon g , HU Li2hu a , XU E J i an2p i ng , HA N G h ong2y ang ( D ep a rt ment o f R a d i ol og y , Xin h ua H os p it al , Me di ca l Co l le ge , S h an g h ai J i ao To n g U ni versi t y , Sh a ng hai 200092 , Chin a) [ Abstra ct ] 　Object ive 　To exp lore the app lica tion of p ne umoa ngiograp hy with mult i2slice C T ( M SCT) in t he diagno si s of ( ) p u lmonar y emboli sm P E 1 Met hods 　Ninet een ca ses w ith PE we re p roved with M SC T con tra st enhance me nt sca nnin g , a nd p roce ssed mult ip le p la na r reco nstr uct ion (M PR) or ma ximu m in t en sity p roj ect ion ( M IP) , an d th en th e p ercen t of P E CT in2 de x ( CTI %) w as calculat ed1 Result s 　Main p ulmon ary tru n k , lef t or right p ulmo nar y b ranch , an d loba r , segmen t al or sub2 segmen t al p u lmonar y a rt ery were di sp la yed w ell with M SCT , 122 b ranc hes we re di sp layed , direct signs i s p ulmonic filling2 d ef ect , in dir ec t sign s inclu de p ulmona ry emboli sm , lu n g lack of blood , pleu ral eff u sio n1 C TI % value is f ro m 215 % t o 75 %. Conclusion 　Th e a nat omic di st rib ut ion a nd sh ap e o f P E and othe r in direct sign s can b e clea rly demo nstrat ed with M SC T , w hich i s helpf ul to select t he strat egy of treatmen t1 [ K