支气管扩张并咯血的血供解剖学分析及DSA表现

发布时间：2019-02-24 12:54

【摘要】： 目的:分析支气管扩张并咯血患者的供血动脉解剖分型及DSA表现,指导临床进行介入栓塞治疗。方法:收集2007年8月至2009年3月介入病房欲行动脉栓塞术的支气管扩张并咯血患者62例。其中男36例,女26例,结合胸部增强CT及术中数字减影血管造影术(DSA)确定支气管扩张并咯血患者供血动脉,总结支气管扩张并咯血病人的供血动脉的解剖学分型及DSA表现。结果:62例在介入栓塞术过程中完成了DSA检查,其中21例在术前完成了增强CT检查。10例DSA示支气管动脉供血,余未见异常;34例DSA示支气管动脉异常,其中主干型14例(支气管动脉增粗、迂曲扩张11例,支气管动脉瘤样扩张3例),网状型12例,多种动脉交通吻合型8例。18例DSA示非支气管源性动脉供血,其中肺动脉供血12例,肋间动脉供血4例,支气管动脉与肺动脉形成吻合血管网者2例。结论:支气管扩张并咯血与供血动脉的解剖异常有关,其血供解剖类型多样,了解其常见类型有利于临床开展介入栓塞治疗。
[Abstract]:Objective: to analyze the anatomic classification and DSA findings of the feeding arteries in patients with bronchiectasis and hemoptysis. Methods: 62 patients with bronchiectasis and hemoptysis were collected from August 2007 to March 2009. Among them, 36 cases were male and 26 cases were female. Combined with chest enhanced CT and intraoperative digital subtraction angiography (DSA), the blood supply arteries were determined in patients with bronchiectasis and hemoptysis. The anatomic classification and DSA manifestations of the blood supply arteries in patients with bronchiectasis and hemoptysis were summarized. Results: DSA was performed in 62 cases during interventional embolization, of which 21 cases completed enhanced CT examination before operation, 10 cases showed bronchial artery supply by DSA, and the rest were not abnormal. 34 cases of DSA showed abnormal bronchial artery, including 14 cases of trunk type (bronchial artery thickening, 11 cases of tortuous dilatation, 3 cases of bronchial aneurysm dilatation) and 12 cases of reticular type. Among them, 12 cases were supplied with pulmonary artery, 4 cases with intercostal artery, and 2 cases with anastomotic network between bronchial artery and pulmonary artery. Conclusion: bronchiectasis with hemoptysis is related to the anatomic abnormality of the blood supply artery.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R562.22;R322;R816.4

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