64层螺旋ct肺动脉造影在肺动脉栓塞诊断及治疗方案选择中的价值评估

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1、1Therewere560branchesofpulmonaryarteriesdetected,noPEinthemainpulmonaryartery.34seconddegreebranchesofpulmonaryartery(theleftandrightpulmonaryartery)involved;83thirddegreebranchesofpulmonaryartery(lobeartery)involved;186fourthdegreebranchesofpulmonaryartery(segme

2、ntartery)involved;152fifthdegreebranchesofpulmonaryartery(subsegmentartery)involved;105sixthdegreebranchesofpulmonaryarteryrepresentedconstrictionofpulmonaryartery.2ThetypeofPEandeffectofdissovation:29embolismsoftypeIweredetectedwhichrepresentedascentrialfillingd

3、efectionand23wereefficiencytothethrombolytictherapy,theefficiencyratewas79.31%;16typeIIembolismsweredetectedand11wereefficiencytothethrombolytictherapy,theefficiencyratewas68.75%;28embolismsoftypelllweredetectedwhichrepresentedaseccentrialfillingdefectioninwhich8

4、wereefficiencytothethrombolytictherapy,theefficiencyratewas28.57%;typeIVembolismrepresentedascut-offofthebranchesofpulmonaryartery,23weredetectedand15wereefficiencytothethrombolytictherapy,theefficiencyratewas65.22%.3Theefficiencyratetothethrombolytictherapyoflow

5、densityembolismswas85.71%;Forequidensityembolismstheefficiencyratetothethrombolytictherapywas72.41%.Wecouldseethatthehigherdensityoftheembolism,thelowerefficiencytothethrombolytictherapy.Theefficiencyrateofhighdensityembolismtothrombolytictherapywasonly29.41%,and

6、6casesofcalcifiedembolismwereinefficiency,whichweretreatedwithsurgeryorinterventionaltherapy.Conclusions:164-SCTPAisahighsensitiveangiographictechnique,itcouldclearlyrevealfifthtosixthdegreebranchesofpulmonaryarterywhichdiametersover2mm・2Thedirectsignsof64-SCTPAf

7、orpulmonaryarteryareimportanttoidentifyfreshorobsoleteembolismandchoosetheidealclinicaltreatmentscheme・英文缩写英文缩写英文全称中文全称CTComputedtomography计算机体层摄影MSCTMulti-sliceComputedtomography多层螺旋CT64-MSCTPA64-slicespiralCTPulmonaryangiography64层螺旋CT肺脉造彫CTPACTPulmonaryangiogr

8、aphyCT肺动脉造影PEpulmonaryembolism肺栓塞PTEPulmonarythromboembolism肺动脉血栓CTACTangiographyCT血管造影kVKilovolt千伏特mAMilliampere毫安培DSAdigitalsubtractionangiography肺动脉血管造影TTPT