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64排螺旋CT胸痛三联检查扫描的临床应用价值
引用本文:吕国士,徐颖,左宏,王德韧,云浩.64排螺旋CT胸痛三联检查扫描的临床应用价值[J].CT理论与应用研究,2009,18(1):94-98.
作者姓名:吕国士  徐颖  左宏  王德韧  云浩
作者单位:解放军251医院影像中心,河北张家口,075000
摘    要:目的:探讨64排螺旋CT胸痛三联检查在急性胸痛病因诊断中的临床价值。材料和方法:对65例胸痛患者行64排螺旋CT胸痛三联检查,所有患者原始数据行多平面重建(MPR)、容积再现(VR)、曲面重建(CPR)、最大密度投影(MIP)等方法分别进行冠状动脉、肺动脉、主动脉成像,由2名有经验的放射科医师进行诊断。其中22例患者行选择性冠状动脉造影检查,并与64排螺旋CT冠状动脉CTA结果相对照。结果:所有行64排螺旋CT检查的患者均可清晰显示双侧肺动脉、冠状动脉主干及其主要分支以及胸主动脉。显示肺动脉栓塞21例、冠状动脉狭窄30例、主动脉夹层8例、主动脉瘤2例、气胸1例、3例未见明显异常。结论64排螺旋CT胸痛三联检查扫描在急性胸痛病因诊断中具有较高的临床应用价值,是一种无创、准确、快速的检查方法。

关 键 词:多层螺旋CT  胸痛  冠状动脉  主动脉夹层

Clinical Value of 64-MDCT Chest Angiography in the Diagnosis of Chest Pain
LV Guo-shi,XU Ying,ZUO Hong,WANG De-reng,YUN Hao.Clinical Value of 64-MDCT Chest Angiography in the Diagnosis of Chest Pain[J].Computerized Tomography Theory and Applications,2009,18(1):94-98.
Authors:LV Guo-shi  XU Ying  ZUO Hong  WANG De-reng  YUN Hao
Institution:LV Guo-shi,XU Ying,ZUO Hong,WANG De-reng,YUN Hao,(Center of Imaging,the 251st Hospital of PLA,Zhangjiakou 075000,China)
Abstract:Objective: To explore the clinical value of 64-MDCT chest angiography protocol for diagnosis of chest pain.Methods: Sixty-five patients with chest pain were performed 64-MDCT chest angiography.Two-dimensional and three-dimensional reconstruction was performed in all patients by means of multiplanar reconstruction(MPR),curved planar reformation(CPR),maximum intensity projection(MIP),and volume rendering(VR).All images were blindly reading by two experienced radiologist.DSA were performed at the same time in ...
Keywords:MDCT  chest pain  coronary vessels  aortic aneurysm  
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