中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2014年
3期
306-309
,共4页
曾秋%赵渝%冯江毅%李凤贺
曾鞦%趙渝%馮江毅%李鳳賀
증추%조투%풍강의%리봉하
肺栓塞/放射摄影术%静脉血栓形成/放射摄影术%体层摄影术,螺旋计算机%血管造影术/方法
肺栓塞/放射攝影術%靜脈血栓形成/放射攝影術%體層攝影術,螺鏇計算機%血管造影術/方法
폐전새/방사섭영술%정맥혈전형성/방사섭영술%체층섭영술,라선계산궤%혈관조영술/방법
Pulmonary embolism/radiography%Venous thrombosis/radiography%Tomography,spiral computed%Angiography/methods
目的 利用CT肺血管造影(CTPA)比较不同下肢深静脉血栓(DVT)患者肺栓塞(PE)检出率及评价不同下肢DVT合并PE患者的肺动脉阻塞严重程度.方法 本科诊断DVT并行CTPA检查患者145例,分为左下肢DVT组,右下肢DVT组,双下肢DVT组,比较三组患者PE检出率.同时以肺动脉栓塞指数(CTI)量化评价肺动脉阻塞程度,比较不同组别确诊PE患者CTI.结果 双下肢DVT组患者PE检出率(71.4％)明显高于左下肢DVT组(39.2％)(P＜0.05),而与右下肢DVT组PE检出率(52.9％)比较差异无统计学意义(P＞0.05).双下肢DVT合并PE患者CTI[(30.20±14.20)％]明显高于左下肢DVT合并PE[(19.26±14.02)％]及右下肢DVT合并PE[(18.56±11.79)％](P＜0.05).结论 双下肢DVT患者较左下肢DVT更容易并发PE,且双下肢DVT合并PE患者肺动脉阻塞程度较单侧更高.
目的 利用CT肺血管造影(CTPA)比較不同下肢深靜脈血栓(DVT)患者肺栓塞(PE)檢齣率及評價不同下肢DVT閤併PE患者的肺動脈阻塞嚴重程度.方法 本科診斷DVT併行CTPA檢查患者145例,分為左下肢DVT組,右下肢DVT組,雙下肢DVT組,比較三組患者PE檢齣率.同時以肺動脈栓塞指數(CTI)量化評價肺動脈阻塞程度,比較不同組彆確診PE患者CTI.結果 雙下肢DVT組患者PE檢齣率(71.4％)明顯高于左下肢DVT組(39.2％)(P＜0.05),而與右下肢DVT組PE檢齣率(52.9％)比較差異無統計學意義(P＞0.05).雙下肢DVT閤併PE患者CTI[(30.20±14.20)％]明顯高于左下肢DVT閤併PE[(19.26±14.02)％]及右下肢DVT閤併PE[(18.56±11.79)％](P＜0.05).結論 雙下肢DVT患者較左下肢DVT更容易併髮PE,且雙下肢DVT閤併PE患者肺動脈阻塞程度較單側更高.
목적 이용CT폐혈관조영(CTPA)비교불동하지심정맥혈전(DVT)환자폐전새(PE)검출솔급평개불동하지DVT합병PE환자적폐동맥조새엄중정도.방법 본과진단DVT병행CTPA검사환자145례,분위좌하지DVT조,우하지DVT조,쌍하지DVT조,비교삼조환자PE검출솔.동시이폐동맥전새지수(CTI)양화평개폐동맥조새정도,비교불동조별학진PE환자CTI.결과 쌍하지DVT조환자PE검출솔(71.4％)명현고우좌하지DVT조(39.2％)(P＜0.05),이여우하지DVT조PE검출솔(52.9％)비교차이무통계학의의(P＞0.05).쌍하지DVT합병PE환자CTI[(30.20±14.20)％]명현고우좌하지DVT합병PE[(19.26±14.02)％]급우하지DVT합병PE[(18.56±11.79)％](P＜0.05).결론 쌍하지DVT환자교좌하지DVT경용역병발PE,차쌍하지DVT합병PE환자폐동맥조새정도교단측경고.
Objective To evaluate the incidence and severity of pulmonary embolism (PE) in patients with different leg deep vein thrombosis (DVT) by computed tomography pulmonary angiography (CTPA).Methods A total of 145 cases who had been confirmed DVT and undergone CTPA were retrospectively analyzed.The DVTs were divided into left side DVT,right side DVT,and bilateral lower DVT groups.The incidence of PE was compared among different groups.CT obstruction index (CTI) was used to estimate the severity of pulmonary artery obstruction.DVT/PEs with CTI were compared among different groups.Results The incidence of PE of the bilateral lower DVT group was 71.4％,which was higher than that in left side DVT group (39.2％).However,no significant difference was found between bilateral lower DVT group and right side DVT group (52.9％) (P ＞ 0.05).The CTI of the bilateral lower DVT (30.20±14.20)％ was higher than that of the left side DVT (19.26 ± 14.02)％ and the right side DVT (18.56 ±11.79) ％ (P ＜ 0.05).Conclusions The bilateral lower DVT was more likely complicated with PE than the left side DVT,the severity of pulmonary artery obstruction of the bilateral lower DVT with PE patient was higher than that of single side DVT with PE patient.
