Girard P, Musset D
Service de chirurgie thoracique, Institut mutualiste Montsouris, Paris.
Arch Mal Coeur Vaiss. 1995 Nov;88(11 Suppl):1729-33.
Pulmonary angiography remains the only investigation which, in all cases, allows confirmation or exclusion of the diagnosis of pulmonary embolism, providing that the technical quality is satisfactory. However, its "invasive" nature is a limitation and its place in the diagnostic strategy of venous thromboembolic disease is the object of on-going specific clinical trials. The reduction of morbidity and the improvement of the quality of the investigation must remain high priorities and depend mainly on the application and motivation of physicians, radiologists and clinicians managing patients with suspected pulmonary embolism.
肺血管造影术仍然是唯一一种在所有病例中,只要技术质量令人满意,就能确诊或排除肺栓塞诊断的检查方法。然而,其“侵入性”本质是一个限制因素,它在静脉血栓栓塞性疾病诊断策略中的地位是正在进行的特定临床试验的对象。降低发病率和提高检查质量必须始终是高度优先事项,这主要取决于管理疑似肺栓塞患者的医生、放射科医生和临床医生的应用和积极性。