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肺灌注联合CT肺动脉成像对肺动脉狭窄合并肺动脉高血压的诊断价值

王茸 王海军 曹云山 周星 王道英 李彦彦

兰州大学学报(医学版)2018,Vol.44Issue(5):26-30,5.
兰州大学学报(医学版)2018,Vol.44Issue(5):26-30,5.DOI:10.13885/j.issn.1000-2812.2018.05.005

肺灌注联合CT肺动脉成像对肺动脉狭窄合并肺动脉高血压的诊断价值

Pulmonary perfusion imaging combined with computed tomography and pulmonary angiography in diagnosis of pulmonaryartery hypertension in patients with pulmonaryartery stenosis

王茸 1王海军 1曹云山 2周星 3王道英 1李彦彦2

作者信息

  • 1. 甘肃省人民医院 核医学科, 甘肃 兰州 730000
  • 2. 甘肃省人民医院 心内科, 甘肃 兰州 730000
  • 3. 甘肃省人民医院 放射科, 甘肃 兰州 730000
  • 折叠

摘要

Abstract

Objective To investigate into the value of pulmonary perfusion imaging combined with computed tomography and pulmonary angiography (CTPA) in diagnosis of pulmonary artery hypertension (PAH) in patients with pulmonary artery stenosis. Method Totally six patients diagnosed with PAH and pulmonary stenosis by right heart catheterization and pulmonary angiography, who underwent both99 mTc-MAA pulmonary perfusion imaging and CTPA examination, were analyzed. Results Pulmonary perfusion imaging combined with CTPA highly accorded with pulmonary angiography in detecting the pulmonary artery stenosis.The diagnostic accuracy in detecting the PAH of the two methods was 83%, and in a combined manner could reach 100%. Conclusion Pulmonary perfusion imaging could be used as a good testing tool for PAH with pulmonary artery stenosis and, combined with CTPA, can avoid unnecessary invasive test in some patients, thus having important clinical value.

关键词

肺灌注显像/CT肺动脉成像/肺动脉高血压/肺动脉狭窄

Key words

pulmonary perfusion imaging/computed tomography and pulmonary angiography/pulmonary artery hypertension/pulmonary artery stenosis

分类

医药卫生

引用本文复制引用

王茸,王海军,曹云山,周星,王道英,李彦彦..肺灌注联合CT肺动脉成像对肺动脉狭窄合并肺动脉高血压的诊断价值[J].兰州大学学报(医学版),2018,44(5):26-30,5.

基金项目

国家自然科学基金项目(81460072) (81460072)

甘肃省自然科学基金项目(17JR5RA057) (17JR5RA057)

兰州大学学报(医学版)

OACSTPCD

2097-681X

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