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CT, especially with coronal reconstruction, better demonstrates the seerity and extent of the stenosis and its relationship to the glottis .

气管狭窄因为位于胸片的上部经常被忽视,CT可以更好地显示狭窄程度和范围以及狭窄与声门的关系。

Accuracy between two groups was calculated byχ~2 test.Calculate the average effective radiation dose of the 30 patients.Results In group A,seventeen patients underwent both DSCT coronary angiography and SCAG,among 255 segments of 17 patients,105 lesion sites of 70 segments were diagnosed stenosis or obstruction,of them,95 lesion sites were confirmed by SCAG.The accuracy of DSCTCA was 90.48%.The agreement of two methods have a high agreement(Kappa =0.853).In group B,13 patients underwent both DSCT coronary angiography and SCAG,among 195 segments of 13 patients,73 lesion sites of 57 segments were diagnosed stenosis or obstruction, of them,65 lesion sites were confirmed by SCAG.The accuracy of DSCTCA was 89.04%.The agreement of two methods have a high agreement(Kappa =0.835). There was no significant difference(χ~2=0.098,p>0.05) between the accuracy of two groups.The effective radiation dose of 30 patients was 3.67±0.43 mSv.Conclusion Compared with SCAG,prospectively ECG-gated transverse DSCT is a valuable examination to detect and diagnose coronary artery disease with a low dose coronary angiography.The accuracy of the DSCT is approximate to the SCAG.There was no significant difference between the accuracy of two groups.

结果200例患者均成功完成了适应性前瞻性心电门控双源CT冠状动脉血管成像;30例同期行SCAG检查的患者,A组17例:HR≤75 bpm,可评价冠状动脉节段255个,70个冠状动脉节段有105处不同程度的狭窄,95处狭窄程度与金标准SCAG相符,其阳性诊断准确率为90.48%;2种方法的诊断结果得到了较高的一致性(Kappa值=0.853)。B组13例;HR≥91 bpm,可评价冠状动脉节段195个,57个冠状动脉节段有73处不同程度的狭窄,65处狭窄程度与SCAG相符,其阳性诊断准确率为89.04%;2种方法的诊断结果得到了较高的一致性(Kappa值=0.835)。2个心率组间的诊断准确率无明显统计学差异(x~2=0.098,p>0.05)。30例患者的平均有效辐射剂量为3.67±0.43 mSv结论适应性前瞻性心电门控双源CT冠状动脉成像是一种有效减低辐射剂量的扫描方式,其诊断准确率与金标准SCAG相比得到较高的一致性,且高、低2个心率组间诊断准确率无明显统计学差异。

Using CDFI to examine the models of TRAS were established before and after,observe the renal artery and each artery inside the TK, Emphasis to observe whetherthere are high speed color bloodstream signal in artificial TK arteriostenosis. Andachieve the pulse of artificial TK arteriostenosis、the renal artery and each arteryinside the TK, select the measure index include PSV、EDV and RI; Intravenous bolusinjection of contrast agent, Collect and store the continuous image which fromcontrast agent inner to disappear in TK and renal arterial. Open QLAB analysingsoftware, choose the region-of-interest, build TIC, measure and quantitativeanalysis on part parameter index.

在移植肾动脉狭窄动脉模型建立前后进行CDFI扫查,观察移植肾动脉及移植肾内各级动脉的彩色血流充盈情况,重点观察移植肾动脉人为狭窄处有无五彩镶嵌的高速彩色血流信号,并获取移植肾动脉人为狭窄处及肾动脉主干肾门处以及移植肾各级动脉的频谱,选取的测定指标包括:PSV、EDV、RI;经外周静脉注入造影剂,开启造影程序,采集并存贮造影剂开始注入至造影剂在移植肾动脉及移植肾内完全消失的连续动态声像图。

Stenosis of internal caroid antery was found in 32 of 48 branches in 24 case. 5 branches were occlusive and 11 branches were normal. 22 cases with large or moderate cerebral infarction volume (>5 cm3) confirmed by CT and MRI were smaller than those on MSCTPI as having abnormal perfusion lesions,which were moderate and obvious stenosis and occlusion on MSCTA. In 2 cases with small cerebral infarction volume(<5 cm3), MSCTPI and MSCTA revealed normal.

其中32支颈内动脉呈不同程度的狭窄,5支颈内动脉闭塞,11支血管无狭窄。22例在常规CT及MRI图像上为中及大体积梗死(>5 cm3)的患者,MSCTPI发现与梗死灶相对应的异常灌注区,且均比常规CT及MRI图像上病灶体积大, MSCTA显示颈内动脉呈中重度狭窄或闭塞。2例未发现明显灌注异常的患者,为小体积梗死灶(<5 cm3),MSCTA显示颈内动脉正常。

Stenosis of internal caroid antery was found in 32 of 48 branches in 24 case. 5 branches were occlusive and 11 branches were normal. 22 cases with large or moderate cerebral infarction volume (>5 cm3) confirmed by CT and MRI were smaller than those on MSCTPI as having abnormal perfusion lesions,which were moderate and obvious stenosis and occlusion on MSCTA.

其中32支颈内动脉呈不同程度的狭窄,5支颈内动脉闭塞,11支血管无狭窄。22例在常规CT及MRI图像上为中及大体积梗死(>5 cm3)的患者,MSCTPI发现与梗死灶相对应的异常灌注区,且均比常规CT及MRI图像上病灶体积大, MSCTA显示颈内动脉呈中重度狭窄或闭塞。2例未发现明显灌注异常的患者,为小体积梗死灶(<5 cm3),MSCTA显示颈内动脉正常。

Fixed the provocative locus of genioglossus and its controlling nerve with local anatomy.Estimated obstructive level of pharyngeal cavity by observing muller′s maneuver under fiberolaryngoscope.

结果 :舌后咽平面狭窄或阻塞,所测呼吸紊乱指标均明显下降(P 。0 5 ),血氧饱和度显著提高(P 。0 5 ),临床症状改善;RTBP及腭咽多平面混合狭窄和阻塞仅部分指标改善;PP平面狭窄或阻塞,各指标均无改善;影响睡眠的指标无升高。

Results The stricture rates of MAGPI and onlay island flap, Mathieu's operation, Dennis-Brown's procedure and bladder mucosa flap were 0%, 0%, 9.3%, 28.3%and 36%respectively. Conclusions MAGPI is recommended for glandular and corona l hypospadias.

结果 尿道口前移,龟头成形术、Onlay island flap法的狭窄率为0,Mathieu法的狭窄率较低,为9.3%,而Denni-Brown与膀胱粘膜法的狭窄率较高,分别为28.3%、36.0%。

The patients were divided into stenotic group n=20;...

将患者分为狭窄组20例(狭窄率≥50%)和非狭窄组54例进行随访,用Kaplan-Meier生存分析法比较两组患者在随访期内发生痴呆的比率。

Methods (1)310 patients of experimental group were performed with digital cine coronary arteriography,each of vascular edge of both the normal and the strictured segment was marked referring to the diameter of catheter,analysed the percentage of geometic stenosis,density contrast and stenosis length with computer.

(1)实验组310例完成数字电影冠状动脉造影后,以插入的导管管径为参照物,逐一标示正常段和狭窄段血管边缘,经计算机分析计算几何狭窄百分率、视频密度差异百分率和狭窄段长度。

The other causes included stenosis of the sphincter of Oddi, focalized pancreatitis of the head of pancreas, traumatic stricture of bile duct and stricture of bilioenteric anastomosis (25%), and bile duct obstruction due to tumor (5%).

分析1996—2006年收治的100例多次胆道手术病人的临床资料,对其原因进行分析。结果 65%的胆道再手术原因是结石复发或残留,括约肌狭窄、胰头部肿块型胰腺炎、胆道损伤后狭窄和胆肠吻合口狭窄占26%,胆道系统肿瘤占5%。

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