目的：探讨128层多排螺旋CT血管成像技术显示髂静脉Cockeet综合征的临床意义。方法85例临床诊断下肢深静脉血栓的患者，常规行肺动脉和下肢静脉螺旋CT增强检查并三维后处理，包括多平面成像（MPR）、曲面成像（CPR）和容积再现（VR）。结果85例下肢静脉血栓CT后处理CPR+VR技术结合原始图像显示Cockeet综合征51例；经DSA检查明确53例，对照符合率为96.2%。结论128层螺旋CT血管成像技术可以明确髂静脉Cockeet综合征。%Objective To evaluate the clinical value of 128-slice spiral CT angiography in the detection of iliac vein with Cockett syndrome. Methods 85 patients suspected with deep venous thrombosis of lower extremity were usually performed by enhanced CT angiography for lower extremity vein and pulmonary arterial,and then all the primary dates was reconstructed including multiplanar reconstruction (MPR),surface reconstruction (CPR) and volume representation (VR). Results 51cases in 85 patients suspected with deep venous thrombosis of lower extremity were confirmed with Cockett syndrome after CT post processing in CPR、VR and primary dates;and 53 cases were confirmed with Cockett syndrome in all the patients which were performed by DSA,and the coincidence rate was 96.2%. Conclusion Iliac vein with Cockett syndrome can be clearly diagnostic in 128-slice spiral CT angiography.
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