CT血管造影后深静脉扫描对深静脉血栓的诊断价值.pdfVIP

放射学实践 2005 年 10 月 2再 20卷第 10 期 Radiol Practice. Oet 2005. Vol 20 . Nι 10 917 ·血管影像学- CT 血管造影后深静脉扫描对深静脉血栓的诊断价值 宋志成，杨四清 【摘要】 目的:探讨肺动脉 CT 血管造影后深静脉扫描对深铮脉血栓的位置、范阁JJ..管脏狭窄草草皮的诊断价值，并与 T股份脉造影结果进行对照.方法: 19 ~列疑诊.j;栓寨的患者，接受肺动脉 CT 血管造影后漾争脉扫描，其中男 8 例，女 11 例，年铃 38-73 岁 . CT 肺动脉透影扫描范随从且每顶至主动脉号水乎.其中 15 例接受双于成脉造彩，扫描范图从局顶 至小腿上精. 分别观察 2 种检查方法的影像结果.并将下M.姊脉影像进行比较分析.结果 :全部 19 例患者行肺动脉 CT 血管造影后深铮脉扫描，所有病例均获得满意的肺部图像， 18 例获得良好的深铮脉扫描图像， 1 例漾脉旦彰不良，不能 诊断。 7 例有不同程度和范圈的肺动脉检塞 .ll 例凡有深铮脉血栓，其中既有腑动脉栓1又有深脉血栓者 6 例 ， 1 例仅 有精动脉检塞而无深静脉血栓，5 例仅有深铮脉Jn.栓而元非动脉校参. 15 例患者在 CT 检查前后 24h 接受下放静脉边影 检查， 10 例呈阳性，显示血栓分别位于崩静脉和股静脉. 10 ~树下肢势脉血栓病例，CT检查发现 9 例，满诊 l 俐，而 CT 友 珑的股份*以上平面的深铮脉血栓 4 例，下成份脉造影受其技术方法限制，均未能显示.结论 :CTA申动脉造够自告能够发 现脐栓塞的部位及其他非栓塞病变外，对下放 、金舷JJ..腹部的静脉扫描.还可准确地诊断深姊脉血栓. E关键词I 血管造移术 ， 体层被影术 .X 线计算机;血栓形成 E中画分类号) R814. 421 R543. 6 [文献标识码) A [文章编号】 1000-0313(2005 ) 1φ0917-03 A Study of CT Ven句rapby arter PuJmonary CT Anglograpby in Dla事nosis of Deep Venous Thrombosis SONG Zhi-chen, YANG Si-qing. Department oC Medical Imaging, Healty Technology College oC Jianghan University, W uhan 430010 , P. R. China [Abstract】 Obj配tive: To determine the location and extension of deep venous thrombosis on CT venography after pul- monary CT angiography in patients c1inically suspected of having pulmonary embolism and to compare the accuracy of CT venography with lower-extremity venography. Metbods: Deep venous images were acquired after pulmonary CT angìography in 19 patients d inìcally suspected of having pulmonary embolism.ll women ,8 men;aged 38- 73 , mean age ,55. 5 years. The scan eictension o{ pulmonary CT angiography goes from the diaphragm 10 the aortic arch and that oC deep venography, Crom the diaphragm tO tlie upper calves. The presence and location o{ deep venous thrombosis were analyzed and compared with those oC lower-extremity venography in 15 patients. Results, Satis{actory CT images of deep venography were obtained in all 19 patien t.s except one. 12 cases had puJmonary embolism and/ or deep venous thrombosis