[1]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,(01):29.
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多层螺旋CT血管成像与DSA对照诊断下肢静脉阻塞性病变()

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

卷:
期数:
2008年01期
页码:
29
栏目:
血管介入
出版日期:
2008-01-15

文章信息/Info

Title:
Comparative diagnosis of venous occlusive diseases of lower extremity through multi-slice CT angiography and DSA
作者:
吴刚顾建平王书智
作者单位:210006 南京南京医科大学附属南京第一医院放射影像科
Author(s):
WU GangGU Jian-pingWANG Shu-zhi YIN Xin-daoLU Ling-quan.
Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing210006,China
关键词:
体层摄影术X线计算机血管造影术静脉下肢阻塞性病变
分类号:
R543.6
文献标志码:
A
摘要:
目的探讨多层螺旋CT血管成像(multi-slice CT angiography,MSCTA)在下肢静脉阻塞性病变中的应用价值。方法对32例临床疑有下肢静脉阻塞性病变患者行16层螺旋CT血管成像及血管三维重建,并进行DSA检查,结合临床资料分析CTA技术及其在下肢静脉阻塞性病变中的应用价值。结果32例疑诊下肢静脉阻塞性病变患者,MSCTA诊断髂静脉受压综合征19例,其中左侧髂总静脉受压16例,右侧髂总静脉或其分支受压3例。下肢深静脉血栓形成9例,其中左下肢2例,右下肢5例,双下肢2例。左侧腹股沟区囊肿压迫左侧髂外静脉1例。单纯左下肢浅静脉曲张1例。以上30例CT诊断结果均与DSA结果相符合。MSCTA诊断右侧股静脉扩张1例,未见异常1例,该2例DSA均提示下肢深静脉瓣膜功能不全。结论MSCTA对下肢静脉阻塞性病变的诊断有较高的临床应用价值。

参考文献/References:

[1]Okrent D,Messersmith R,Buckman J.Transcatheter fibrinolytic therapy and angioplasty for left iliofemoral venous thrombosis[J].J Vasc Interv Radiol,1991,2:195-200.
[2]Visser K,Hunink MG.Peripheral arterial disease:gadolinium-enhanced MR angiography versus color-guided duplex US-a meta-analysis[J].Radiology,2000,216:67-77.
[3]Ota H,Takase K,Rikimaru H,et al.Quantitative vascular measurements in arterial occlusive disease[J].Radiographics,2005,25:1141-1158.
[4]Loud PA,Katz DS,Klippenstein DL,et al.Combined CT veno-graphy and pulmonary angiography in suspected thromboembolic disease:diagnostic accuracy for deep venous evaluation[J].AJR,2000,174:61-65.
[5]Fleischmann D,Rubin GD.Quantification of intravenously admi-nistered contrast medium transit through the peripheral arteries:implications for CT angiography[J].Radiology,2005,236:1076-1082.
[6]Das M,Muhlenbruch G,Mahnken AH,et al.Optimized image reconstruction for detection of deep venous thrombosis at multidetector-row CT venography[J].Eur Radiol,2006,16:269-275.
[7]Goldhaber SZ.Pulmonary embolism[J].N Engl J Med,1998,339:93-104.
[8]Cham MD,Yankelevitz DF,Shaham D,et al.Deep venous throm-bosis:detection by using indirect CT venography[J].Radiology,2000,216:744-751.
[9]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.
[10]Stehling MK,Rosen MP ,Weintraub J,et al.Spiral CT veno-graphy of the lower extremity[J].AJR,1994,163:451-453.
[11]花迎雪,乔德林,程永德,等.髂静脉受压综合征影像学诊断与介入治疗[J].介入放射学杂志,2006,15:396-398.

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备注/Memo

备注/Memo:
收稿日期:2007-10-09
基金项目:国家科技部“十一五”支撑计划课题(2006038073024)
更新日期/Last Update: 2008-01-15