吴刚,王书智,顾建平,冯敏,殷信道,卢铃铨.多层螺旋CT血管造影在下肢血管闭塞性病变中的应用[J].中国医学影像技术,2007,23(6):892~895
多层螺旋CT血管造影在下肢血管闭塞性病变中的应用
Multislice spiral CT angiography for evaluation of vascular occlusive diseases of lower extremity
投稿时间:2006-09-16  修订日期:2007-04-29
DOI:
中文关键词:  体层摄影术,X 线计算机  血管造影术  下肢  闭塞性病变
英文关键词:Tomography, X-ray computed  Angiography  Lower extremity  Occlusive diseases
基金项目:
作者单位E-mail
吴刚 南京医科大学附属南京第一医院放射科,江苏 南京 210006  
王书智 南京医科大学附属南京第一医院放射科,江苏 南京 210006  
顾建平 南京医科大学附属南京第一医院放射科,江苏 南京 210006 gjp_210006@126.com 
冯敏 南京医科大学附属南京第一医院放射科,江苏 南京 210006  
殷信道 南京医科大学附属南京第一医院放射科,江苏 南京 210006  
卢铃铨 南京医科大学附属南京第一医院放射科,江苏 南京 210006  
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中文摘要:
      目的 探讨多层螺旋CT血管造影在下肢血管闭塞性病变中的应用价值。方法 对22例临床疑有下肢血管闭塞性病变患者行多层螺旋CT血管造影及血管三维重建,并结合临床资料分析CT血管造影技术及应用价值。结果 MSCT动脉造影诊断下肢动脉病变10例,8例为下肢动脉硬化闭塞症,1例为血栓闭塞性脉管炎,1例为下肢动脉急性栓塞。其中4例行DSA检查,结果与MSCTA相符。MSCT静脉造影诊断下肢静脉病变12例。4例为髂静脉压迫综合征,6例为下肢深静脉血栓,2例MSCTV未见异常。其中6例行DSA检查,4例结果与MSCTV相符。结论 多层螺旋CT血管造影诊断下肢血管闭塞性病变有较高的临床应用价值。
英文摘要:
      Objective To assess the value of multislice spiral CT angiography (MSCTA) in detecting vascular occlusive diseases of lower extremity. Methods Twenty-two suspected patients with vascular occlusive diseases of lower extremity underwent multislice spiral CT angiography and 3D reconstruction. The CT angiography technique and its diagnostic value were analyzed with clinical data. Results Ten cases of lower extremity arterial diseases were diagnosed by MSCTA. There were 8 cases of lower extremity arteriosclerotic occlusive disease, 1 case of thromboangiitis obliterans, 1 case of lower extremity artery atheroembolism. Four cases underwent DSA. The results were accordant between DSA and MSCTA. Twelve cases of lower extremity venous diseases were diagnosed by MSCT venography. There were 4 cases of iliac vein compression syndrome, 6 cases of deep vein thrombosis. No abnormality was seen in 2 cases. Six cases underwent DSA. The results were accordant between DSA and MSCT venography in 4 cases. Conclusion Multislice spiral CT angiography is of great value in detecting vascular occlusive diseases of lower extremity.
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