期刊文献+

急性肺栓塞CT阻塞指数与右心室重构相关性研究 被引量:2

Research on Relevance to CT Obstructive Index of Acute Pulmonary Embolism and Right Ventricular Remodeling
下载PDF
导出
摘要 目的分析急性肺栓塞患者CT阻塞指数与右心室重构的相关性。方法回顾性分析2012年1月至2013年12月因胸痛临床疑诊急性肺栓塞行CT肺动脉造影(CTPA)并确诊的患者,共110例。根据CT图像,分析计算出Qanadli CT阻塞指数及右心室重构系数。分析右心室重构阳性组与阴性组患者CT阻塞指数及CT所见的差异,并进一步应用Pearson相关性分析评价急性肺栓塞患者CT阻塞指数与右心室重构的相关性。结果本组患者男性50例,女性60例,年龄(50.0±11.3)岁。CT阻塞指数平均为40.6%,其中右室重构阳性组CT阻塞指数平均62.5%,高于阴性组的22.1%(P<0.01),阳性组右室重构系数(1.4±0.1)与阴性组(0.6±0.1)相比有统计学差异(P<0.01),CT阻塞指数与右室重构系数呈正相关(r=0.87,P<0.01)。结论急性肺栓塞患者CT阻塞指数与右室重构呈正相关。CTPA不仅可以准确诊断急性肺栓塞,而且可通过量化的右心重构信息来判断患者预后。
出处 《河南科技大学学报(医学版)》 2015年第4期265-267,共3页 Journal of Henan University of Science & Technology:Medical Science
  • 相关文献

参考文献10

  • 1Collomb D,Paramelle PJ,Calaque O,et a1.Severity assessment of acute pulmonary embolism:evaluation using CT[J].Eur Radiol,2003,13(7):1508-1514.
  • 2赵殿江,马大庆,贺文,徐岩,关春爽.CT肺血管造影对急性肺栓塞患者右室功能障碍的评价[J].实用放射学杂志,2008,24(2):168-172. 被引量:27
  • 3Qanadli SD,EI Hajjam M,Vieillard Baron A,et a1.New CT index to quantify arterial obstruction in pulmonary embolism:comparison with angiographic index and echocardiography[J].Am J Roentgenol,2001,176(6):1415-1420.
  • 4Ghersin E,Litmanovich D,Dragu R,et a1.16-MDCT coronary angiography versus invasive coronary angiography in acute chest pain syndrome:a blinded prospective study[J].Am J Roentgenol,2006,186(1):177-184.
  • 5Johnson TR,Nikolaou K,Wintemperger BJ,et a1.ECG gated64-MDCT angiography in the differential diagnosis of acute chest pain[J].Am J Roentgenol,2007,188(1):76-82.
  • 6Wood KE.Major pulmonary embolism:review of a pathophysiologic approach to the golden hour of hemodynamic ally significant pulmonary embolism[J].Chest,2002,121(3):877-905.
  • 7He H,Stein Mw,Zalta B,et a1.Computed tomography evaluation of right heart dysfunction in patients with acute pulmonary embolism[J].J Comput Assist Tomogr,2006,30(2):262-266.
  • 8Hoang JK,Lee WK,Hennessy OF.CT pulmonary angiography features of pulmonary embolus[J].J Med Imag Radiat On,2008,52(3):302-317.
  • 9张克文,向旭,周晓锋,左勤学.多层螺旋CT心血管参数评价急性肺栓塞严重性[J].中国实用医药,2011,6(9):17-19. 被引量:4
  • 10贾飞鸽,彭珂文,汪春荣,高慧,古治梅,高德宏,谭四平,沈比先.双源CT双能量肺灌注成像对急性肺动脉栓塞诊断价值[J].中国CT和MRI杂志,2013,11(6):40-43. 被引量:42

二级参考文献31

  • 1李辉,李铁一,马大庆,胡玉敏,贺文,刘大亮,王新莲.支气管动脉扩张在肺动脉栓塞中的意义[J].中华放射学杂志,2005,39(3):272-275. 被引量:14
  • 2周旭辉,李菁,李子平,谭国胜,范淼,陈境弟.急性肺动脉栓塞的CT表现与疾病严重程度的关系[J].中华放射学杂志,2006,40(9):918-922. 被引量:18
  • 3Qanadli SD,El Hajjam M,Vieillard Baron A,et al.New CT index to quantify arterial obstruction in pulmonary embolism:comparison with angiographic index and echocardiography.AJR Am J Roentgenol,2001,176(6):1415-1420.
  • 4Wood KE.Major pulmonary embolism:review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism.Chest,2002,121(3):877-905.
  • 5He H,Stein MW,Zalta B,et al.Computed tomography evaluation of right heart dysfunction in patients with acute pulmonary embolism.J Comput Assist Tomogr,2006,30(2):262-266.
  • 6Schoepf UJ,Kucher N,Kipfmueller,et al.Right ventricular enlargement on chest computed tomography:a predictor of early death in acute pulmonary embolism.Circulation,2004,110(20):3276-3280.
  • 7Vander Meer RW,Pattynama PM,Van Strijen MJ,et al.Right ventricular dysfunction and pulmonary obstruction index at helical CT:prediction of clinical outcome during 3-month follow-up in patients with acute pulmonary embolism.Radiology,2005,235(3):798-803.
  • 8Contractor S,Maldjian PD,Sharma VK,et al.Role of helical CT in detecting right ventricular dysfunction secondary to acute pulmonary embolism.J Comput Assist Tomogr,2002,26(4):587-591.
  • 9Collomb D,Paramelle PJ,Calaque O,et al.Severity assessment of acute pulmonary embolism:evaluation using helical CT.Eur Radiol,2003,13(7):1508-1514.
  • 10Araoz PA,Gotway MB,Trowbridge RL,et al.Helical CT pulmonary angiography predictors of in-hospital morbidity and mortality in patients with acute pulmonary embolism.J Thorac Imaging,2003,18(4):207-216.

共引文献70

同被引文献29

引证文献2

二级引证文献22

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部