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D—二聚体值与CT肺动脉栓塞指数对肺动脉栓塞诊断的相关性研究

材料写作网    时间: 2021-09-12 04:07:46     阅读:次     手机站

【摘要】 目的:探讨D-二聚体值与CT肺动脉栓塞指数(PAOI)对肺动脉栓塞诊断的相关性研究。方法:回顾性分析50例肺动脉CTA阳性的肺动脉栓塞患者的影像资料,计算肺动脉栓塞指数,根据Mastora评分方法进行PAOI评分,将患者分为轻度(<30%)、中度(30%~50%)、重度(>50%),与相应D-二聚体值进行对比,分析两者对肺动脉栓塞的诊断及严重程度评估价值。结果:轻度肺动脉栓塞患者CT肺动脉栓塞指数低于中度患者、重度患者,中度肺动脉栓塞患者CT肺动脉栓塞指数低于重度患者,差异均有统计学意义(P<0.05)。轻度肺动脉栓塞患者D-二聚体值高于中度患者、重度患者,中度肺动脉栓塞患者D-二聚体值低于重度患者,但差异无统计学意义(P>0.05)。结论:D-二聚体值与肺动脉CTA对肺动脉栓塞的诊断均有价值,但CT肺动脉栓塞指数对评估临床症状严重程度有意义。

【关键词】 肺动脉栓塞; CT肺动脉栓塞指数; D-二聚体值; 计算机体层成像

doi:10.14033/j.cnki.cfmr.2018.24.018 文献标识码 B 文章编号 1674-6805(2018)24-00-02

Correlation of D-dimer and CT Pulmonary Arterial Infarction Index in the Diagnosis of Pulmonary Embolism/FU Jianming,CHEN Hui.//Chinese and Foreign Medical Research,2018,16(24):-40

【Abstract】 Objective:To investigate the correlation between D-dimer and pulmonary artery embolism index (PAOI) in the diagnosis of pulmonary embolism. Method:The imaging data of 50 patients with pulmonary artery CTA positive pulmonary embolism were retrospectively analyzed.Pulmonary artery embolization index was calculated. The PAOI score was scored according to the Massoura method.The patients were divided into mild (<30%) and moderate (30%-50%) patients,Severe (>50%),and the corresponding D-dimer values were compared to analyze the value of the diagnosis and severity of pulmonary embolism.Result:The pulmonary embolism index of patients with mild pulmonary embolism was lower than that of moderate and severe patients.The pulmonary artery embolism index of patients with...



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