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肺血栓栓塞症(PTE)是一种病残率和死亡率很高的临床病理影像学综合症。由于PTE临床表现多样且缺乏特异性,对PTE的诊出率极低,引起PTE的血栓主要来自深静脉血栓形成(DVT)。影像学检查对明确PTE诊断有重要价值,从早期线索、明确诊断、临床病理分型和选择最适宜治疗方案等均有决定性作用。PTE的各种影像学检查各有特色、优势,相互相成、互为补充。多学科协作能综合性地提高PTE的诊断治疗水平,而规范PTE-DVT影像学检查还可提高诊断水平,减少误诊率。
Pulmonary thromboembolism (PTE) is a clinicopathological imaging syndrome with a high morbidity and mortality. Due to the diverse clinical manifestations and lack of specificity of PTE, the diagnosis of PTE is extremely low, causing thrombosis of PTE mainly from deep venous thrombosis (DVT). Imaging examination for the diagnosis of PTE has a clear value, from the early clues, a clear diagnosis, clinical pathological typing and selection of the most appropriate treatment programs have a decisive role. PTE various imaging studies have their own characteristics, advantages, mutual complement each other. Multidisciplinary collaboration can comprehensively improve the level of diagnosis and treatment of PTE, while standard PTE-DVT imaging examination can also improve the diagnostic level and reduce the misdiagnosis rate.