摘要
目的:探讨多层螺旋CT血管造影在咯血患者介入栓塞前的评估价值。方法:回顾性分析28例同时行术前MSCTA和DSA检查的咯血患者影像学资料,观察MSCTA对咯血责任血管的显示效果,以及对介入栓塞的指导价值。结果:MSCTA共检出27例患者40支咯血责任血管,DSA检出28例43支咯血责任血管,术前MSCTA对咯血责任血管显示的敏感性为93%,特异性为100%,两者对咯血责任血管的检出率无明显差异(P>0.05)。27例患者在MSCTA指引下均能顺利选择性插管、成功栓塞。结论:介入术前MSCTA可提供咯血相关动脉准确、详细的影像解剖信息,指导介入栓塞治疗。
Objective: To investigate the value ofMSCT angiography in preoperative endovascular embolization of hemoptysis. Methods: 28 cases of hemoptysis with MSCTA and DSA examination were selected. Diagnostic performances of MSCTA in depicting arteries were assessed. Results: 40 feeding vessels were detected by MSCTA in 27 cases and by DSA in 28 cases. The sensitivity, specificity was 93% and 100%. There was no significant difference between preoperative MSCTA and DSA in dedecting feediong vessels (P〉0.05). 27 cases had selective catheterization and successful embolization. For 3 months' follow-up, 2cases with recurrent massive hemoptysis were found. Conclusion: Preoperative interventional MSCTA can provide detailed information of correlate artery in embolization therapy.
出处
《内蒙古中医药》
2017年第1期76-77,共2页
Inner Mongolia Journal of Traditional Chinese Medicine