术前CTA在支气管扩张大咯血介入治疗中的应用

发布时间：2018-03-16 17:10

本文选题：支气管扩张症　切入点：咯血　出处：《中国医学计算机成像杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的:探讨术前支气管动脉CT血管成像(CTA)对动脉栓塞术(BAE)治疗支气管扩张(支扩)大咯血的指导价值及支气管动脉内径与临床相关因素分析。方法:总结2014年1月至2016年6月我院20例BAE术前行支气管动脉CTA检查的支气管扩张症大咯血患者(含1例左肺部分切除术后再发大咯血患者),通过术前CTA显示的支气管动脉(BA)、迷走支气管动脉(ABA)、非支气管性体循环供血动脉(NBSA)等信息,指导术中造影并进行栓塞。测量支气管动脉内径,并与临床相关因素作进一步分析。结果:20例患者支气管动脉CTA共显示支气管动脉(BA)40支,左支气管动脉(LBA)9支,右支气管动脉17支(其中右侧肋间支气管动脉14支),共干支气管动脉12支,迷走支气管动脉(ABA)2支;非支气管动脉性体循环供血动脉(NBSA)14支,术中结合CTA显示勾选血管造影证实相关血管并栓塞。增粗支气管动脉18支,相关分析示支气管动脉内径与咯血时间呈显著正相关。结论:BAE术前咳血患者行支气管动脉CTA检查可以确定出血血管位置及数目,BA管径粗细和支气管扩张病史及咯血量呈正相关。
[Abstract]:Objective: to investigate the guiding value of preoperative bronchial artery CT angiography (CTA) in the treatment of bronchiectasis (bronchiectasis) with massive hemoptysis by arterial embolization (BAE). From June to June 2016, 20 cases of bronchiectasis with severe hemoptysis (including 1 patient with recurrent hemoptysis after partial pneumonectomy) underwent CTA examination of bronchial artery before BAE. Information such as ABAN, NBSAs of non-bronchial systemic circulation, etc., The internal diameter of bronchial artery was measured, and further analysis was made with clinical related factors. Results CTA of bronchial artery of 20 cases showed 40 bronchial artery and 9 left bronchial artery. There were 17 right bronchial arteries (14 right intercostal bronchial arteries, 12 trunk bronchial arteries, 2 abra obliterans bronchial arteries), 14 NBSAs, 14 non-bronchial artery systemic circulation arteries, 14 right intercostal bronchial arteries, 12 trunk bronchial arteries, 2 vagal bronchial arteries, 14 NBSAs, 14 right bronchial arteries and 14 right intercostal bronchial arteries. Combined with CTA during operation, the associated vessels were confirmed by angiography and embolized. The bronchial artery was thickened in 18 branches. Conclusion CTA examination of bronchial artery can determine the location and number of hemorrhage vessels, the diameter of BA and the history of bronchiectasis and the amount of hemoptysis in the patients with hemoptysis before the operation of BBA, and there is a positive correlation between the diameter of BA and the history of bronchiectasis and the volume of hemoptysis.
【作者单位】：安徽省胸科医院影像中心、放射介入科;
【基金】：2015年安徽省卫计委科研计划项目15TB012
【分类号】：R562.22;R816.4

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