64层螺旋CT肺动脉造影在肺动脉栓塞诊断及预后评估中的应用

摘要

Objective To explore application the value of 64-slice spiral CT pulmonary angiography(MSCTPA ) in the diagnosis of pulmonary thromboembolism and its prognostic evaluation. Methods A retrospective analysis of 19 cases of pulmonary thromboembolism from September 2009 to May 2013, diagnosed by MSCTPA. A prognostic evaluation was made after thrombolytic therapy. Results In 19 cases of pulmonary thromboembolism: the total cumulative pulmonary was artery which was in or above the pulmonary section artery were 119, wherein the left lung in 39, right lung in 80, double was involved in 101; the superior vena cava was involved in 2 cases. MSCTPA showed the embolisms disappeared partially or completely after thrombolytic therapy, and achieved the desired effect. Conclusion MSCTPA has a guiding significance in diagnosis of pulmonary thromboembolism and its prognostic evaluation.%目的：探讨64层螺旋CT肺动脉造影（MSCTPA）在肺动脉栓塞诊断及预后评估的应用。方法回顾性分析2009年9月至2013年5月经MSCTPA检查确诊的19例肺动脉栓塞病例，行溶栓治疗后对比评估。结果19例肺动脉栓塞病例：共累计段及以上肺动脉119支，其中左肺39支，右肺80支，双肺动脉同时受累101支；其中上腔静脉受累2例。溶栓治疗后行MSCTPA示栓子部分或完全消失，达到预期效果。结论 MSCTPA在肺动脉栓塞诊断及预后评估中具有指导意义。