상지의 Direct Injection CT Venogram의 유용성에 대한 고찰

• 영문명: Inspection for Benefit of The Direct Injection Upper Extremity CT Venogram
• 발행기관: 대한CT영상기술학회
• 저자명: 박형민(Hyung Min Park) 문일봉(Il Bong Moon) 김성옥(Sung Ok Kim) 이종호(Jong Ho Lee) 최남길(Nam Gil Choi)
• 간행물 정보: 『대한CT영상기술학회지』대한전산화단층기술학회지 제11권 제1호, 90~95쪽, 전체 6쪽
• 주제분류: 의약학 > 방사선과학
• 파일형태: PDF
• 발행일자: 2009.09.30

영문 초록

Purpose The purpose of this study was to recognize the benefit of the direct injection upper extremity venogram in obstructive disease of the vein, because of the indirect venogram has a diagnostic limitation. Materials and methods It is suspected that 17 patients to be the obstructive disease of the vein(stenosis, occlusion, thrombus), that were examined within 88 patients of ordering extremity VCTA with swelling, since June, 2006. until June, 2008, and 13 patients(76.5%) were males, 4 patients(23.5%) were females. For the comparison, 19 patients(12 patients(63.2%) were males, 7 patients(36.8%) were females) were suspected to be the similar disease, and were examined. Contrast media(CM) of direct venogram was made use of mixed CM and saline in the rate of 1 to 2, total volume was 160ml, and injected into the back of the hand toward the finger direction, and injected into the injection speed of 1.5 ml/sec with bending wrist level. When the 75%(120ml) of the CM was injected, removed the toniquet, examined from finger tip to shoulder after 5secs. And evaluated the result from intervention radiologist. Results 13 patients were confirmed obstructive disease, 4 patients were not confirmed disease, within 17 patients. 14 patients could be evaluated both of the cephalic vein and brachial vein, but 3 patients could be evaluated only brachial vein. In the contrary, 9 patients were confirmed obstructive disease, 4 patients were normal, 6 patients were not confirmed disease, within 19 patients, in indirect venogram. But 3 cases of unconfirmed patients, were confirmed by direct venogram. Conclusion Indirect venogram has merit of the evaluation of the arteries, veins and around the structure, but has a weak point, that can not be distinguish from structure of disease clearly in obsructive disease. To the contrary, direct venogram has a weak point, that can not make an observation clearly except vein system, but it is very useful to evaluate the vein system.

목차

Abstract

Ⅰ. 목적

Ⅱ. 대상 및 방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

참고문헌

키워드

indirect venogram direct venogram contrast media