摘要
目的分析支气管扩张症伴咯血患者的供血动脉解剖分型及DSA表现。方法收集接受经导管动脉栓塞术的支气管扩张症伴咯血患者62例,其中男36例,女26例,结合胸部CT及术中数字减影血管造影(DSA)确定其供血动脉,分析供血动脉的解剖学分型及DSA表现。结果 62例患者均在栓塞过程中接受DSA检查,21在栓塞治疗前接受增强CT检查。DSA示10例单纯支气管动脉供血;34例异常支气管动脉供血,其中主干型14例(支气管动脉增粗、纡曲扩张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例非支气管源性动脉供血,其中肺动脉供血4例,肋间动脉供血12例,支气管动脉与肺动脉形成吻合血管网者2例。结论支气管扩张症伴咯血与供血动脉的解剖异常有关,了解其解剖特点有利于临床开展介入治疗。
Objective To analyze the anatomical features and DSA manifestations of supplying arteries in bronchiectasis with hemoptysis patients.Methods Sixty-two bronchiectasis with hemoptysis patients were selected（36 males and 26 females）.Supplying arteries were confirmed with chest CT and digtal subtraction angiography（DSA）.Anatomical features and DSA manifestations of supplying arteries were analyzed.Results All patients received DSA,21 patients underwent contrast-enhanced CT examination before embolization therapy.DSA showed that the supplying arteries of 10 patients were the branchial arteries.Abnormality branchial arteries were detected in 34 patients,14 of them were trunk type（11 with thickness and expand of bronchial arteries,3 with aneurismal expansion of bronchial arteries）,12 of mesh type,8 with match type by kinds of communicating arteries.The branchial artery was not the supplying artery in 18 patients,among which 4 pulmonary arteries,12 intercostal arteries,2 net vasculars between the branchial arteries and pulmonary arteries were the responsible vessels.Conclusion Bronchiectasis with hemoptysis is related to the abnormality of supplying arteries.Understanding anatomical features is helpful to carry out the clinical treatment of embolism.
出处
《中国介入影像与治疗学》
CSCD
2010年第5期551-554,共4页
Chinese Journal of Interventional Imaging and Therapy
