国际医学放射学杂志
國際醫學放射學雜誌
국제의학방사학잡지
INTERNATIONAL JOURNAL OF MEDICAL RADIOLOGY
2015年
1期
46-49
,共4页
王利伟%顾建平%沈莉%冯敏
王利偉%顧建平%瀋莉%馮敏
왕리위%고건평%침리%풍민
May-Thurner综合征%血管造影术%深静脉血栓形成%肺栓塞
May-Thurner綜閤徵%血管造影術%深靜脈血栓形成%肺栓塞
May-Thurner종합정%혈관조영술%심정맥혈전형성%폐전새
May-Thurner syndrome%Angiography%Deep vein thrombosis%Pulmonary embolism
May-Thurner综合征(MTS)是引起下肢静脉血栓形成和肺栓塞等并发症的主要原因之一,发病率常被低估。血管内超声诊断结果可靠,同时能进行腔内治疗,但费用昂贵;MR成像在判断髂静脉受压程度上有明显夸大;CT和DSA应用较广,是诊断MTS的主要标准;间接法CT静脉成像操作方便,应用较广;直接法CT静脉成像存在边流效应,应用较少;DSA能同时实施支架置入术或球囊扩张术以进行治疗。就以上几种医学成像方法研究进展予以综述。
May-Thurner綜閤徵(MTS)是引起下肢靜脈血栓形成和肺栓塞等併髮癥的主要原因之一,髮病率常被低估。血管內超聲診斷結果可靠,同時能進行腔內治療,但費用昂貴;MR成像在判斷髂靜脈受壓程度上有明顯誇大;CT和DSA應用較廣,是診斷MTS的主要標準;間接法CT靜脈成像操作方便,應用較廣;直接法CT靜脈成像存在邊流效應,應用較少;DSA能同時實施支架置入術或毬囊擴張術以進行治療。就以上幾種醫學成像方法研究進展予以綜述。
May-Thurner종합정(MTS)시인기하지정맥혈전형성화폐전새등병발증적주요원인지일,발병솔상피저고。혈관내초성진단결과가고,동시능진행강내치료,단비용앙귀;MR성상재판단가정맥수압정도상유명현과대;CT화DSA응용교엄,시진단MTS적주요표준;간접법CT정맥성상조작방편,응용교엄;직접법CT정맥성상존재변류효응,응용교소;DSA능동시실시지가치입술혹구낭확장술이진행치료。취이상궤충의학성상방법연구진전여이종술。
May-Thurner syndrome (MTS) is one of the major reasons of venous thrombosis of lower limbs and pulmonary embolism, and its incidence is often underestimated. Intravascular ultrasound is reliable and expensive, but capable of endovascular treatment. The degree of iliac vein compression is obviously exaggerated on magnetic resonance imaging. CT and digital subtraction angiography (DSA) are widely applied,and the main standard methods for the diagnosis of MTS. Indirect CT venography is easy to implement, and has been widely applied. Direct CT venography method is accompanied by edge flow effects, and is not widely applied. Treatment can be performed by implementation of stent or balloon dilation during DSA procedure. The progresses of these medical imaging research were reviewed in this paper.