【摘要】：目的:分析支氣管動脈-肺循環(huán)瘺(體-肺分流)在大咯血患者中的發(fā)病率,并探討體-肺分流形成的原因。方法:回顧性搜集本院494例大咯血患者的病例資料,根據(jù)病因分為三組,肺慢性炎癥組、肺血管病變組和肺惡性腫瘤組。分析各組CT圖像,并計算不同組別的體-肺分流發(fā)病率和平均每例患者異常支氣管動脈或非支氣管動脈的體動脈系統(tǒng)的數(shù)目,并進(jìn)行統(tǒng)計學(xué)分析。結(jié)果:肺慢性炎癥組、肺血管病變組和肺惡性腫瘤組的體-肺分流發(fā)生率分別為93.0%、75.0%和11.4%。三組的體-肺分流發(fā)病率差異具有統(tǒng)計學(xué)意義(P0.001,P0.001,P=0.014)。結(jié)論:肺慢性炎癥組的體-肺分流發(fā)生率最高,提示慢性炎癥可能是體-肺分流形成的最重要原因之一。對于大咯血患者,在除外明確的肺血管病變后,臨床應(yīng)重點關(guān)注肺慢性炎癥的診斷和治療。
[Abstract]:Objective: to analyze the incidence of bronchoarterial-pulmonary shunt (BAF) in patients with massive hemoptysis and to explore the causes of SBF. Methods: the data of 494 patients with massive hemoptysis were collected retrospectively and divided into three groups according to the etiology: chronic pulmonary inflammation group pulmonary vascular disease group and lung malignant tumor group. The CT images of each group were analyzed and the incidence of body-pulmonary shunt and the average number of abnormal bronchial or non-bronchial artery systems in each group were calculated and statistically analyzed. Results: the incidence of body-pulmonary shunt in chronic inflammation group, pulmonary vascular disease group and malignant lung tumor group was 93.0% and 11.440%, respectively. There was significant difference in the incidence of body-lung shunt among the three groups (P 0.001, P 0. 014). Conclusion: the incidence of body-lung shunt is the highest in chronic pulmonary inflammation group, which suggests that chronic inflammation may be one of the most important reasons for the formation of body-lung shunt. For patients with massive hemoptysis, the diagnosis and treatment of chronic pulmonary inflammation should be focused on after definite pulmonary vascular disease.
【作者單位】： 廣州醫(yī)科大學(xué)附屬第一醫(yī)院放射科;
【基金】：廣東省醫(yī)學(xué)科研基金資助項目(A2014296)
【分類號】：R459.7;R816.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 朱巧洪;伍筱梅;林翰菲;曾慶思;李嫻;孫瑯，

本文編號：2320010