64排螺旋CT增强扫描诊断肺动脉栓塞60例诊断价值

摘要

目的：观察、分析并研究64排螺旋CT增强扫描对肺动脉栓塞的临床诊断价值。方法：选取本院2012年3月-2013年3月收治的60例已经确诊为肺动脉栓塞的患者作为研究对象，将所有患者随机分为观察组和对照组，各30例。为所有患者进行二次诊断，为对照组患者采用彩色多普勒超声显像技术进行二次诊断，为观察组患者采用64排螺旋CT增强扫描技术进行二次诊断。比较两组患者的二次诊断效果、采用不同方式所得到的诊断图像的诊断效果以及患者的满意率。结果：经过二次诊断，对照组成功诊断出18例肺动脉栓塞的患者，其余患者因为图像模糊等原因，其病情未能得到准确的识别，确诊率为60.00%；观察组成功诊断出30例患者，确诊率达到100%，观察组的病灶成像明显比对照组清晰，患者的满意率也更高，两组比较差异有统计学意义(P<0.05)。结论：在诊断肺动脉栓塞的时候，采用64排螺旋CT增强扫描具有更准确的确诊率，能够准确清晰的识别病灶部位，还能够及时地发现病灶旁边的病变情况，更容易得到患者的接受，值得在临床上推广使用。%Objective:To observe,analysis and research of 64 row spiral CT enhancement scanning the clinical diagnostic value of pulmonary embolism.Method:60 cases in our hospital from March 2012 to March 2013,were randomly divided into observation group and control group,30 cases in each group.Secondary diagnosis to all of the patients,the observation group were treated by color Doppler ultrasound imaging technology,the control group by 64 row helical CT enhanced scan technology,compared two groups of the effectiveness and the satisfaction of patients.Result:The control group 18 cases with pulmonary embolism diagnosis rate were 60.00%,the observation group confirmed all patients,the diagnosis rate was 100%,the differences was statistically significant(P<0.05).Conclusion:At the time of diagnosis in patients with pulmonary embolism,by 64 row helical CT enhanced scan has more accurate diagnosis rate,can recognize and lesion in patients with accurate and clear,and can also be found beside the lesions in patients with lesions in a timely manner,is worth popularizing in clinical use.