mscta在中医结合治疗肺栓塞的疗效评价中的应用价值研究.pdf

Research on Value of MSCTA in Therapeutic Evaluation of Integrated Traditional Chinese and Western Medicine in Pulmonary Embolism Speciality: Medical Imaging and Nuclear Medicine Author: Gu Yujiang Tutor: Prof. Ding Chengzong Abstract Objective: To study the value of multislice spiral CT angiography (MSCTA) in the therapeutic evaluation of integrated traditional Chinese and western medicine in pulmonary embolism. Methods: Among 74 inpatients that were clinically suspected of pulmonary embolism and then diagnosed via MSCT and medical examinations, we reviewed and analyzed 45 cases who accepted the treatment of traditional Chinese and western medicine and underwent MSCTA reexamination, studied the sites, direct and indirect signs of pulmonary embolism, and collected the clinical data of those patients. The pre and post treatment data of direct signs was statistically analyzed. Results: There existed 516 branches of pulmonary arteries embolized before treatment in the 45 cases, including 132 branches of central type filling defect, 117 of acute angle mural type filling defect, 85 of blunt angle mural type filling defect, 57 of honeycombed filling defect and 125 of complete occlusion filling defect, and the numbers of corresponding types decreased to 20, 19, 67, 11 and 51 branches respectively after treatment. There had no significant difference among central type, acute angle mural type and honeycombed filling defect, but had significant difference when they are compared with blunt angle type and complete occlusion filling defect respectively. It also showed significant difference between blunt angle type and complete