[1]胡蓝月,顾建平,王利伟,等.多层螺旋CT与DSA诊断髂静脉受压综合征的比较研究[J].介入放射学杂志,2015,(04):301-305.
 HU Lan yue,GU Jian ping,WANG Li wei,et al.Multi slice spiral CT venography and digital subtraction venography for the diagnosis of iliac vein compression syndrome: a comparison study[J].journal interventional radiology,2015,(04):301-305.
点击复制

多层螺旋CT与DSA诊断髂静脉受压综合征的比较研究()

PDF下载中关闭

分享到:

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

卷:
期数:
2015年04期
页码:
301-305
栏目:
血管介入
出版日期:
2015-04-25

文章信息/Info

Title:
Multi slice spiral CT venography and digital subtraction venography for the diagnosis of iliac vein compression syndrome: a comparison study
作者:
胡蓝月 顾建平 王利伟 楼文胜 殷信道
Author(s):
HU Lan yue GU Jian ping WANG Li wei LOU Wen sheng YIN Xin dao
Department of Interventional Radiology, Affiliated Nanjing Hospital, Nanjing Medical University, Nanjing 210006, China
关键词:
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
文献标志码:
A
摘要:
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(?字2=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(?字2=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。

参考文献/References:

[1] Cockett FB, Thomas ML. The iliac compression syndrome[J]. Br J Surg, 1965, 52: 816 821.
[2] Labropoulos N, Borge M, Pierce K, et al. Criteria for defining significant central vein stenosis with duplex ultrasound[J]. J Vasc Surg, 2007, 46: 101 107.
[3] 冯 敏, 王书智, 顾建平, 等. 磁共振血管成像在髂静脉受压综合征中的诊断价值[J]. 介人放射学杂志, 2008, 17: 26 28.
[4] Gurel K, Gurel S, Karavas E, et al. Direct contrast enhanced MR venography in the diagnosis of May Thurner Syndrome[J]. Eur J Radiol, 2011, 80: 533 536.
[5] Sidhu PS, Alikhan R, Ammar T, et al. Lower limb contrast venography: a modified technique for use in thromboprophylaxis clinical trials for the accurate evaluation of deep vein thrombosis[J]. Br J Radiol, 2007, 80: 859 865.
[6] 楼文胜, 顾建平, 何 旭, 等. 髂静脉受压综合征与单侧肢体肿胀[J]. 介人放射学杂志, 2008, 17: 22 25.
[7] 王书智, 沈 莉, 顾建平, 等. CT血管成像对髂静脉受压综合征及继发血栓形成的诊断价值[J]. 中华放射学杂志, 2009, 43: 1156 1159.
[8] Narayan A, Eng J, Carmi L, et al. Iliac vein compression as risk factor for left versus right sided deep venous thrombosis: case control study[J]. Radiology, 2012, 265: 949 957.
[9] 罗传斌, 欧光乾, 斯光晏, 等. 髂静脉压迫综合征的多层螺旋CT血管成像、 数字减影血管造影诊断与介入治疗[J]. 中国医学影像学杂志, 2013, 21: 576 578.
[10] Wang L, Kang W, Zu M, et al. Application of 128 slice spiral CT combination scanning in the diagnosis of embolisms in pulmonary arteries and lower extremity veins[J]. Exp Ther Med, 2014, 7: 401 404.
[11] Kirchhof K, Welzel T, Mecke C, et al. Differentiation of white,mixed,and red thrombi: value of CT in estimation of the prognosis of thrombolysis phantom study[J]. Radiology, 2003, 228: 126 130.

相似文献/References:

[1]潘海英 徐山淡 王耀程 梁国民 邬秋珍 黄进.集束电极射频治疗肺癌效果的CT评估[J].介入放射学杂志,2001,(01):30.
[2]潘杰 杨宁 刘巍 金征宇 赵玉沛 蔡立行.CT引导下经腹前壁途径腹腔神经丛阻滞术治疗癌性疼痛[J].介入放射学杂志,2001,(02):99.
[3]许永华 朱彤 赵妙嘉 席俊文 张建萍 梁风英.集束电极射频治疗肝恶性肿瘤疗效和并发症的CT评价[J].介入放射学杂志,2002,(01):37.
[4]萧毅,弓静,田建明,等.64层螺旋CT冠状动脉造影评价冠状动脉支架再狭窄[J].介入放射学杂志,2007,(05):312.
 XIAO Yi,GONG Jing,TIAN Jian-ming,et al.Evaluation of in-stent restenosis in coronary arteries with64multislice computed tomography[J].journal interventional radiology,2007,(04):312.
[5]萧毅,田建明,生晶,等.多层螺旋CT在腹主动脉瘤腔内隔绝术后的随访价值[J].介入放射学杂志,2007,(06):367.
 XIAO Yi,TIAN Jiang-ming,SHENG Jing,et al.The follow-up value of multi-slice CT for abdominal aortic aneurysms after endovascular exclusion[J].journal interventional radiology,2007,(04):367.
[6]李国栋,周正荣,李文涛,等.CT导引下经皮肺组织活检术常见并发症及穿刺体会[J].介入放射学杂志,2007,(12):847.
 LI Guo-dong,ZHOU Zheng-rong,LI Wen-tao,et al.Common complications due to CT-guided transthoracic aspiration biopsy and the comprehension of puncture[J].journal interventional radiology,2007,(04):847.
[7]韩新巍,丁鹏绪,吴刚.布加综合征下腔静脉阻塞直径30mm大球囊扩张的可行性研究[J].介入放射学杂志,2008,(04):243.
 HAN Xinwei,DING Pengxu,WU Gang.Budd-Chiari syndrome :the feasibility study of PTA with diameter30mm balloon catheter for obstruction of the inferior vena cava[J].journal interventional radiology,2008,(04):243.
[8]林俊东,徐建成.CT引导下椎体穿刺活检的相关问题及解决办法[J].介入放射学杂志,2008,(07):518.
 LIN Jundong,XU Jiancheng.The procedure problems and solution of CT-guided percutaneous biopsy of spinal diseases[J].journal interventional radiology,2008,(04):518.
[9]李成州,贾宁阳,姜庆军,等.522例肺部病变CT引导经皮切割针活检总结[J].介入放射学杂志,2008,(10):716.
 LI Chengzhou,JIA Ningyang,JIANG Qingjun,et al.Clinical evaluation of percutaneous transthoracic needle core-biopsy under CT guidance(with522cases reports)[J].journal interventional radiology,2008,(04):716.
[10]许华 邵成伟 左长京 生晶 田建明 熊源长.CT引导下乙醇注射加椎旁置管腰交感神经节毁损术疗效评估[J].介入放射学杂志,2009,(01):37.
 XU Hua SHAO Chen-wei ZUO Chang-Jing SHENG Jing TIAN Jian-ming XIONG Yuan-chang.Ablation of lumbar sympathetic ganglia by absolute ethanol injection and paravertebral catheter placement under CT guidance: Evaluation of the efficacy[J].journal interventional radiology,2009,(04):37.
[11]邵成伟,田建明,左长京,等.CT引导下乙醇消融术治疗肝转移瘤[J].介入放射学杂志,2007,(03):171.
 SHAO Cheng-wei,TIAN Jian-ming,ZUO Chang-jing,et al.CT-guided percutaneous ethanol injection for hepatic metastasis[J].journal interventional radiology,2007,(04):171.
[12]刘德森,倪才方,秦涌,等.兔VX2肺癌模型的建立和螺旋CT评价[J].介入放射学杂志,2007,(04):266.
 LIU De-shen,NI Cai-fang,QIN Yong,et al.Establishment of VX2lung cancer model in rabbit and spiral CT evaluation[J].journal interventional radiology,2007,(04):266.
[13]唐晓军,刘佳鹏,谭仲俊.CT血管三维成像对上腹部肿瘤介入治疗的指导价值[J].介入放射学杂志,2007,(06):375.
 TANG Xiao-jun,LIU Jia-peng,TAN Zhong-jun.Evaluation of three dimensional reconstruction CT angiography in interventional treatment of epigastric tumors[J].journal interventional radiology,2007,(04):375.
[14]王波,温宗秋,武兴杰,等.CT定位仪在CT引导经皮肺部肿块穿刺活检的对照研究[J].介入放射学杂志,2007,(08):557.
 WANG Bo,WEN Zong-qiu,WU Xing-jie,et al.Comparative study of clinical application value with CT-Orientator stereotactic percutaneous puncture biopsy for pulmonary masses[J].journal interventional radiology,2007,(04):557.
[15]王勇,钟鸣,谭显西,等.多排螺旋CT血管造影与DSA在兔脑血管痉挛模型中对比实验研究[J].介入放射学杂志,2007,(09):627.
 WANG Yong,ZHONG Ming,TAN Xian-xi,et al.Experimental comparative study of CTA and DSA in detecting delayed cerebral vasospasm in rabbit model[J].journal interventional radiology,2007,(04):627.
[16]戚跃勇,邹利光,陈林,等.多层螺旋CT血管成像在颈内动脉起始部狭窄介入治疗中的应用价值[J].介入放射学杂志,2007,(10):652.
 QI Yue-yong,ZOU Li-guang,CHEN Lin,et al.Clinical value of MSCTA in the interventional treatment of the initial origin stenotic segment of the internal carotid artery[J].journal interventional radiology,2007,(04):652.
[17]孙志超,肖湘生.射频消融治疗肺癌的现状与进展[J].介入放射学杂志,2007,(11):781.
 SUN Zhi-chao,XIAO Xiang-sheng.Current status and advances of radiofrequency ablation for lung cancer[J].journal interventional radiology,2007,(04):781.
[18]邵成伟,田建明,左长京,等.CT引导置管引流治疗单发性腹膜后脓肿[J].介入放射学杂志,2007,(12):828.
 SHAO Cheng-wei,TIAN Jian-ming,ZUO Chang-jing,et al.CT guided percutaneous drainage in treatment of solitary retroperitoneal abscess[J].journal interventional radiology,2007,(04):828.
[19]吴刚,顾建平,王书智,等.多层螺旋CT血管成像与DSA对照诊断下肢静脉阻塞性病变[J].介入放射学杂志,2008,(01):29.
 WU Gang,GU Jianping,WANG Shuzhi,et al.Comparative diagnosis of venous occlusive diseases of lower extremity through multi-slice CT angiography and DSA[J].journal interventional radiology,2008,(04):29.
[20]徐凯,李麟荪.布加综合征的CT和MRI 诊断[J].介入放射学杂志,2008,(04):294.
 XU Kai,LI Lingsun.Budd-Chiari syndrome :CT and MRI findings[J].journal interventional radiology,2008,(04):294.

备注/Memo

备注/Memo:
(收稿日期:2014-11-11)
(本文编辑:边 佶)
更新日期/Last Update: 2015-04-27