肺动静脉畸形的影像诊断及介入治疗分析

发布时间：2018-04-14 01:16

本文选题：肺动静脉畸形 + 介入放射学　；参考：《临床放射学杂志》2016年01期

【摘要】：目的探讨肺动静脉畸形的影像学诊断及介入治疗的应用价值。方法回顾性分析2007年10月至2013年11月在本院行介入治疗的15例肺动静脉畸形患者的临床资料,分析总结其临床表现、影像特征及介入治疗的方法与疗效。结果 15例患者均行CT血管造影(CTA)检查,显示病灶的供血动脉、引流静脉及不同形状的瘤囊,提示肺部动静脉畸形病灶,并将病灶分型,其中简单型12例,复杂型3例。15例患者均行介入栓塞治疗,其中13例患者临床症状逐渐好转,2例复杂型患者症状得到缓解,所有患者介入治疗效果良好,术后均未发生严重并发症。结论对可疑肺动静脉畸形患者应及时行CTA明确诊断,介入栓塞是一种安全有效的治疗方法。
[Abstract]:Objective to evaluate the imaging diagnosis and interventional therapy of pulmonary arteriovenous malformation.Methods the clinical data of 15 patients with pulmonary arteriovenous malformation who underwent interventional therapy in our hospital from October 2007 to November 2013 were analyzed retrospectively. The clinical manifestations, imaging features, methods and effects of interventional therapy were analyzed and summarized.Results all the 15 patients were examined by CT angiography (CTAA), showing the blood supply artery, drainage vein and tumor sac of different shapes, indicating the pulmonary arteriovenous malformation lesions, and classifying the lesions, of which 12 cases were simple type.Three patients with complex type and 15 patients with complex type were treated with interventional embolization. Among them, 13 patients gradually improved their clinical symptoms and 2 patients with complex type received remission. All patients received good interventional therapy, and no serious complications occurred after operation.Conclusion CTA should be used to diagnose suspected pulmonary arteriovenous malformation in time. Interventional embolization is a safe and effective method for the treatment of suspected pulmonary arteriovenous malformation.
【作者单位】：华中科技大学同济医学院附属协和医院放射科;
【分类号】：R543.2;R816.2

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