下肢动脉硬化闭塞症的MSCTA的诊断价值.docVIP

PAGE PAGE 7 下肢动脉硬化闭塞症的MSCTA的诊断价值 戚跃勇，邹利光，余仕勇，马琼英，孙清荣 （第三军医大学附属新桥医院放射科，重庆 400037） 摘要：目的 探讨下肢动脉硬化闭塞症的多排螺旋CT血管成像（MSCTA）的诊断价值。方法：对48例临床诊断为下肢动脉硬化闭塞症患者行MSCTA检查,同时行DSA检查和/或手术治疗。MSCTA检查包括MIP、VR、MPR和CTVE重建。结果：48例下肢动脉硬化闭塞症的MSCTA均能获得准确的诊断, 与DSA和手术结果比较，其敏感性、特异性和准确性均为100％。通过多平面重建测量其面积狭窄百分比，以狭窄程度最严重处为准，表现为轻度狭窄者3例，中度狭窄8例，重度狭窄16例，闭塞21例。MSCT重建技术能显示斑块及狭窄管腔内部形态。结论：MSCT血管成像可直观地显示下肢动脉硬化闭塞症的狭窄程度，有利于术前评价。 关键词：下肢动脉；体层摄影术,X线计算机；多层螺旋CT；三维重建 Diagnostic value of Multi-slice CT angiography in the arteriosclerotic occlusive disease of lower limb Qi Yue-yong, Zou Li-guang, Yu Shi-yong,Mu Qiong-ying，SUN Qing-rong (Department of Radiology，Xinqiao Hospital, Third Military Medical University, Chongqing 400037) Abstract：Objective：To assess the clinical value of Multi-slice CT angiography (MSCTA) in the arteriosclerotic occlusive disease of lower limb. Methods：42 cases clinically suspected as the arteriosclerotic occlusive disease of lower limb underwent MSCTA，DSA and/or surgical therapy were analyzed retrospectively. All reconstructed images were reformed by means of MIP, VR, MPR and CTVE. Results：The 48 patients were diagnosed correctly using MSCTA.Compared by DSA and/or 作者简介：戚跃勇，男，重庆市人，硕士，副主任医师，副教授，主要从事CT图像后处理研究。电话（023通信作者：邹利光，电话（023surgical result, sensitivity was 100％, specificity 100％ and accurate rate 100％．The percentage of area stenosis were measured from the multiplanar reconstruction (MPR) images of MSCTA，including mild stenosisin 3, moderate stenosis in 8, severe stenosis in 15, occlusion in 21. Plaques and endoscopic views of stenosis were delineated in MSCTA and CTVE. Conclusion：MSCTA is an accurate method for the assessment of the stenosis and plaques of the arteriosclerotic occlusive disease of lower limb, and served as pre-surgery evaluation and primary method. Key words：artery of lower limb; tomography,X-ray computer; multislice spiral CT; 3-D reconstruction 动脉硬化闭塞症(arteriosclerotic occlusive disease)是由动脉硬化引起的全身性疾病,临床上以下肢动脉硬化闭塞多见，其主要发病机制为内膜损伤、脂质浸润和平滑肌细胞增生等，主要临