多层螺旋计算机断层肺动脉成像在慢性血栓栓塞性肺动脉高压及右心结构评价中的应用价值
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摘要
目的探讨多层螺旋计算机断层肺动脉成像在慢性血栓栓塞性肺动脉高压及右心结构评价中的应用价值。方法对我院2016年4月至2017年4月收治的40例慢性血栓栓塞性肺动脉高压患者的临床资料进行统计分析,将这些患者纳入研究组,另选取我院同期接收的40例健康体检人员为对照组,对两组人员的右心结构CT检测结果、研究组患者右心结构CT和超声测量值结果及其相关性进行统计分析。结果研究组患者的右心结构CT检测结果中右房横径、右房上下径、右室基底段内径、RVAWT、dPA、rPA均显著长于对照组(P<0.05),右心结构CT测量值结果中右房横径、右房上下径、右室基底段内径、RVAWT、dPA、右室横径/心脏横径均显著长于超声(P<0.05),CT和超声测量值结果均呈显著的正相关关系(P<0.05)。结论多层螺旋计算机断层肺动脉成像在慢性血栓栓塞性肺动脉高压及右心结构评价中具有较高的应用价值,值得在临床推广应用。
Objective To explore the application value of multi-slice spiral CT pulmonary angiography in the evaluation of chronic thromboembolic pulmonary hypertension and right heart structure. Methods The clinical data of 40 cases of patients with chronic thromboembolic pulmonary hypertension in our hospital from April 2016 to April 2017 were statistically analyzed, these patients were regarded as study group,another 40 cases of healthy people received in our hospital during the same period were selected as control group, the right heart structure CT results of the two groups,CT and ultrasound measurement of right heart structure test results of the study group and correlations were statistically analyzed.Results The right heart function test results of CT right atrial diameter, vertical diameter, right ventricular diameter, basal segment of RVAWT, dPA and rPA of the study group were significantly longer than the control group(P<0.05), the right ventricular structure CT measurements of the right atrial diameter, vertical diameter, right ventricular basal segment the diameter, RVAWT, dPA, right ventricular diameter/cardiac transverse diameter were significantly longer than ultrasound(P<0.05), CT and ultrasound measurement results showed significant positive correlations(P<0.05).Conclusion The application value of multi-slice spiral CT pulmonary angiography in the evaluation of chronic thromboembolic pulmonary hypertension and right heart structure is higher, so is worthy of promotion and application in the clinical.
Objective To explore the application value of multi-slice spiral CT pulmonary angiography in the evaluation of chronic thromboembolic pulmonary hypertension and right heart structure. Methods The clinical data of 40 cases of patients with chronic thromboembolic pulmonary hypertension in our hospital from April 2016 to April 2017 were statistically analyzed, these patients were regarded as study group,another 40 cases of healthy people received in our hospital during the same period were selected as control group, the right heart structure CT results of the two groups,CT and ultrasound measurement of right heart structure test results of the study group and correlations were statistically analyzed.Results The right heart function test results of CT right atrial diameter, vertical diameter, right ventricular diameter, basal segment of RVAWT, dPA and rPA of the study group were significantly longer than the control group(P<0.05), the right ventricular structure CT measurements of the right atrial diameter, vertical diameter, right ventricular basal segment the diameter, RVAWT, dPA, right ventricular diameter/cardiac transverse diameter were significantly longer than ultrasound(P<0.05), CT and ultrasound measurement results showed significant positive correlations(P<0.05).Conclusion The application value of multi-slice spiral CT pulmonary angiography in the evaluation of chronic thromboembolic pulmonary hypertension and right heart structure is higher, so is worthy of promotion and application in the clinical.
引文
[1]中华医学会呼吸病学分会.肺血栓栓塞症的诊断和治疗指南(草案).中华结核和呼吸杂志,2001, 24(10):259-264.
[2]王建国,朱力,刘敏,等.急性肺栓塞所致右心功能不全的CTPA诊断价值.实用放射学杂志,2008, 24(9):1205-1209.
[3]王建国,王辰,郭佑民,等.CT肺血管成像分析栓塞程度及右心功能价值.中国医学影像学杂志,2009, 3(17):81-84.
[4]郑亚国,熊长明,柳志红,等.CT测量主肺动脉直径在肺动脉高压诊断中的作用研究.中华临床医师杂志,2014,8(1):27-30.
[5]马展鸿,刘敏,郭晓娟,等.CT肺动脉造影评价慢性血栓栓塞性肺动脉高压的血流动力学.实用放射学杂志,2010,26(9):24-28.
[6]刘敏,马展鸿,郭晓娟,等.CT肺动脉造影评价慢性血栓栓塞性肺动脉高压栓塞指数及右心功能.医学影像学杂志,2010, 20(2):804-808.
[7] Mahammedi A, Oshmyansky A, Hassoun PM, et al. Pulmonary artery measurements in pulmonary hypertension:the role of computed tomography. J Thorac Imaging, 2013,28(2):96-103.
[8] Lange TJ, Dornia C, Stiefel J, et al. Increased pulmonary artery diameter on chest computed tomography can predict borderline pulmonary hypertension. Pulm Circ, 2013, 3(2):363-368.
[9] Truong QA, Massaro JM, Rogers IS, et al. Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography:the Framingham Heart Study. Circ Cardiovasc Imaging, 2012, 5(1):147-154.
[10]Kochav J, Simprini L, Weinsaft JW. Imaging of the right heart-CT and CMR. Echocardiography, 2015, 32(Suppl 1):S53-S68.
[2]王建国,朱力,刘敏,等.急性肺栓塞所致右心功能不全的CTPA诊断价值.实用放射学杂志,2008, 24(9):1205-1209.
[3]王建国,王辰,郭佑民,等.CT肺血管成像分析栓塞程度及右心功能价值.中国医学影像学杂志,2009, 3(17):81-84.
[4]郑亚国,熊长明,柳志红,等.CT测量主肺动脉直径在肺动脉高压诊断中的作用研究.中华临床医师杂志,2014,8(1):27-30.
[5]马展鸿,刘敏,郭晓娟,等.CT肺动脉造影评价慢性血栓栓塞性肺动脉高压的血流动力学.实用放射学杂志,2010,26(9):24-28.
[6]刘敏,马展鸿,郭晓娟,等.CT肺动脉造影评价慢性血栓栓塞性肺动脉高压栓塞指数及右心功能.医学影像学杂志,2010, 20(2):804-808.
[7] Mahammedi A, Oshmyansky A, Hassoun PM, et al. Pulmonary artery measurements in pulmonary hypertension:the role of computed tomography. J Thorac Imaging, 2013,28(2):96-103.
[8] Lange TJ, Dornia C, Stiefel J, et al. Increased pulmonary artery diameter on chest computed tomography can predict borderline pulmonary hypertension. Pulm Circ, 2013, 3(2):363-368.
[9] Truong QA, Massaro JM, Rogers IS, et al. Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography:the Framingham Heart Study. Circ Cardiovasc Imaging, 2012, 5(1):147-154.
[10]Kochav J, Simprini L, Weinsaft JW. Imaging of the right heart-CT and CMR. Echocardiography, 2015, 32(Suppl 1):S53-S68.