介入放射学杂志
介入放射學雜誌
개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2015年
4期
301-305
,共5页
胡蓝月%顾建平%王利伟%楼文胜%殷信道
鬍藍月%顧建平%王利偉%樓文勝%慇信道
호람월%고건평%왕리위%루문성%은신도
体层摄影术,X线计算机%血管造影术%髂静脉受压综合征%静脉血栓形成
體層攝影術,X線計算機%血管造影術%髂靜脈受壓綜閤徵%靜脈血栓形成
체층섭영술,X선계산궤%혈관조영술%가정맥수압종합정%정맥혈전형성
Tomography,X-ray computed%angiography%iliac vein compression syndrome%vein thrombosis
目的探讨多层螺旋CT静脉造影(MSCTV)及DSA静脉造影在诊断髂静脉受压综合征(IVCS)及继发血栓形成中的临床应用价值。方法收集38例临床可疑IVCS患者的MSCTV及溶栓治疗前后DSA图像数据,测量MSCTV图像中受压髂静脉的前后内径,计算受压程度,并采用列联表卡方检验比较MSCTV及溶栓治疗前后DSA对IVCS的检出率差异。结果 MSCTV发现IVCS 29例,DSA在溶栓治疗前发现IVCS 20例,溶栓治疗后发现IVCS 29例。 MSCTV与溶栓前DSA对IVCS的检出率差异有统计学意义(χ2=4.65,0.01<P<0.05),MSCTV与溶栓后DSA对IVCS的检出率差异无统计学意义(χ2=0.00, P>0.05)。结论在IVCS诊断中,MSCTV的准确性明显优于溶栓治疗前DSA检查,可作为IVCS诊断的首选检查。
目的探討多層螺鏇CT靜脈造影(MSCTV)及DSA靜脈造影在診斷髂靜脈受壓綜閤徵(IVCS)及繼髮血栓形成中的臨床應用價值。方法收集38例臨床可疑IVCS患者的MSCTV及溶栓治療前後DSA圖像數據,測量MSCTV圖像中受壓髂靜脈的前後內徑,計算受壓程度,併採用列聯錶卡方檢驗比較MSCTV及溶栓治療前後DSA對IVCS的檢齣率差異。結果 MSCTV髮現IVCS 29例,DSA在溶栓治療前髮現IVCS 20例,溶栓治療後髮現IVCS 29例。 MSCTV與溶栓前DSA對IVCS的檢齣率差異有統計學意義(χ2=4.65,0.01<P<0.05),MSCTV與溶栓後DSA對IVCS的檢齣率差異無統計學意義(χ2=0.00, P>0.05)。結論在IVCS診斷中,MSCTV的準確性明顯優于溶栓治療前DSA檢查,可作為IVCS診斷的首選檢查。
목적탐토다층라선CT정맥조영(MSCTV)급DSA정맥조영재진단가정맥수압종합정(IVCS)급계발혈전형성중적림상응용개치。방법수집38례림상가의IVCS환자적MSCTV급용전치료전후DSA도상수거,측량MSCTV도상중수압가정맥적전후내경,계산수압정도,병채용렬련표잡방검험비교MSCTV급용전치료전후DSA대IVCS적검출솔차이。결과 MSCTV발현IVCS 29례,DSA재용전치료전발현IVCS 20례,용전치료후발현IVCS 29례。 MSCTV여용전전DSA대IVCS적검출솔차이유통계학의의(χ2=4.65,0.01<P<0.05),MSCTV여용전후DSA대IVCS적검출솔차이무통계학의의(χ2=0.00, P>0.05)。결론재IVCS진단중,MSCTV적준학성명현우우용전치료전DSA검사,가작위IVCS진단적수선검사。
Objective To evaluate multi-slice spiral CT venography (MSCTV) and digital subtraction venography (DSV) in diagnosing iliac vein compression syndrome (IVCS) and secondary thrombosis. Methods The imaging materials, including MSCTV and DSV performed before and after the thrombolysis therapy, of 38 patients with clinically-suspected IVCS were collected. The inner diameters of the compressed iliac veins were measured on MSCTV images and the compression ratio was calculated. Usingχ2 test, the detection rates of IVCS by MSCTV and DSV were compared. Results Of 38 patients, IVCS was detected by MSCTV in 29, by pretreatment DSV in 20 and by post-treatment DSV in 29. The difference in the detection rate of IVCS between MSCTV and pre-treatment DSV was statistically significant (χ2=4.65, 0.01<P<0.05), while the difference in the detection rate of IVCS between MSCTV and post-treatment DSV was not significant (χ2=0.00, P>0.05). Conclusion For the diagnosis of IVCS, MSCTV is superior to pre-treatment DSV in the diagnostic accuracy of iliac vein compression syndrome. Therefore, MSCTV should be used as the preferred method of examination.(J Intervent Radiol, 2015, 24:301-305)