新双源CT血管造影在肺动脉栓塞诊断中的临床应用价值分析

Clinical Value Analysis of New Dual-Source CT Angiography in the Diagnosis of Pulmonary Embolism

目的:对新双源CT血管造影在肺动脉栓塞诊断中的临床应用价值进行分析。方法:选取2021年6月~2021年12月天津市胸科医院影像科接诊的64例肺动脉栓塞患者的临床资料展开回顾性分析,总结其CT直接征象和间接征象的检查结果。结果:经检查诊断分析,64例患者CT图像均表现清晰,全部确诊为肺动脉栓塞以及肺动脉栓塞合并下肢深静脉血栓;其中,表现为肺动脉主干以及左右肺动脉主干栓塞的分别为7处、16处,表现为肺叶动脉栓塞分别为21处、50处,表现为段肺动脉栓塞分别为26处、55处;而诊断的间接征象则显示,表现为胸腔积液的患者分别为8例、16例,表现为肺动脉高压患者分别为13例、26例,表现为肺梗死患者分别为7例、12例。结论:在肺动脉栓塞诊断治疗中,新双源CT血管造影能够为临床诊断提供客观准确的影像学依据,且检出率较高,检查时间较短,操作便捷,并具有很高的安全性。

Objective: To analyze the clinical application value of new dual-source CT angiography in the diagnosis of pulmonary embolism. Methods: Retrospective analysis was performed on the clinical data of 64 patients with pulmonary embolism admitted to the department of Radiology of Tianjin Chest Hospital from June 2021 to December 2021, and the results of direct and indirect CT signs were summarized. Results: After examination and diagnostic analysis, CT images of 64 patients were clear, and all patients were diagnosed as pulmonary embolism and pulmonary embolism complicated with deep venous thrombosis of lower limbs. There were 7 and 16 cases of pulmonary artery and left and right pulmonary artery embolism, 21 and 50 cases of pulmonary artery embolism, 26 and 55 cases of segmentary pulmonary artery embolism. Indirect signs of diagnosis showed pleural effusion in 8 and 16 patients, pulmonary hypertension in 13 and 26 patients, and pulmonary infarction in 7 and 12 patients, respectively. Conclusion: In the diagnosis and treatment of pulmonary embolism, new dual-source CT angiography can provide objective and accurate imaging basis for clinical diagnosis, with high detection rate, short examination time, convenient operation, and high safety.