Panigrahi G, Boudoulas H, Ganguly S
Angiology. 1985 Apr;36(4):203-8. doi: 10.1177/000331978503600401.
Pulmonary angiography is considered the definite method of diagnosing pulmonary emboli. It is hypothesized that pulmonary cineangiography is superior to conventional pulmonary angiography for quantitation of pulmonary emboli. The present study was undertaken to test the hypothesis. Six patients with an age range from 27 to 70 years with documented pulmonary emboli by pulmonary angiogram, had pulmonary cineangiograms. Pulmonary angiogram defined pulmonary emboli in nine major vessels in the six patients; while, pulmonary cineangiogram revealed another 10 major vessels with pulmonary emboli, which were either not detected or considered equivocal by the conventional pulmonary angiography. The pulmonary embolic score as an index of the extent of pulmonary emboli was 24 (mean 4 +/- 2.52 1SD) by the conventional pulmonary angiography, while the score was 60 (mean 10 +/- 3.22 1SD) by the pulmonary cineangiography, P less than 0.2. Thus, in cases with pulmonary emboli, pulmonary cineangiogram is superior to conventional pulmonary angiogram for the quantitation of pulmonary emboli.
肺血管造影被认为是诊断肺栓塞的金标准方法。据推测,肺电影血管造影在定量评估肺栓塞方面优于传统肺血管造影。本研究旨在验证这一假设。对6例年龄在27至70岁之间、经肺血管造影证实患有肺栓塞的患者进行了肺电影血管造影。肺血管造影确定6例患者的9条主要血管存在肺栓塞;而肺电影血管造影显示另外10条主要血管存在肺栓塞,这些血管在传统肺血管造影中未被检测到或被认为不明确。传统肺血管造影评估肺栓塞程度的肺栓塞评分是24分(平均4±2.52标准差),而肺电影血管造影的评分为60分(平均10±3.22标准差),P<0.2。因此,在肺栓塞病例中,肺电影血管造影在定量评估肺栓塞方面优于传统肺血管造影。