[1]梁 欣,李 卉,张国滨,等. CT血管造影与DSA诊断肺隔离症的对比研究[J].介入放射学杂志,2012,(10):816-820.
 LIANG Xin,LI Hui,ZHANG Guo bin,et al.The diagnosis of pulmonary sequestration: a comparative study between CT angiography and DSA [J].journal interventional radiology,2012,(10):816-820.
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 CT血管造影与DSA诊断肺隔离症的对比研究 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年10期
页码:
816-820
栏目:
血管介入
出版日期:
2012-10-29

文章信息/Info

Title:
The diagnosis of pulmonary sequestration: a comparative study between CT angiography and DSA
作者:
 梁 欣 李 卉 张国滨 李明华 赵俊功
Author(s):
 LIANG Xin LI Hui ZHANG Guo bin LI Ming hua ZHAO Jun gong.
 Department of Diagnostic and Interventional Radiology, the Sixth Affiliated People’s Hospital, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
 【关键词】 肺隔离症 CT血管造影 数字减影血管造影 栓塞
文献标志码:
A
摘要:
 【摘要】 目的 评估64排CT血管造影(CTA)对肺隔离症(PS)的诊断价值。方法 43例疑似肺隔离症患者在进行数字减影血管造影术(DSA)或手术前接受64排CTA检查。从患者及异常供血动脉方面评估CTA的准确性、敏感性、特异性、阳性预测值(PPV)和阴性预测值(NPV)。结果 肺隔离症在CT平扫显示为囊性(5例)、实性(25例)或囊实性病灶(13例),病灶从1.5 cm至12 cm不等。CTA诊断37例患者为肺隔离症,6例为非肺隔离症。DSA和(或)手术显示37例患者为肺隔离症,6例为非肺隔离症。从患者方面评估,CTA诊断肺隔离症的准确率为97.7%,敏感度为97.3%的,特异度为100%,PPV为100%,NPV为85.7%。从异常供血动脉方面评估,CTA诊断肺隔离症的准确率为98.0%,敏感度为97.8%,特异度为100%,PPV为100%,NPV为85.7%。从患者、血管两方面比较,CTA与DSA的诊断效能差异无统计学意义(P < 0.05)。结论 CTA可以替代DSA用于术前诊断肺隔离症。CTA不仅能显示异常的供血动脉,而且可以提供异常肺实质、气管及周围肺气肿等具体信息。

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备注/Memo

备注/Memo:
 (收稿日期:2012- 07- 28)
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