【摘要】： 目的:分析支氣管擴(kuò)張并咯血患者的供血?jiǎng)用}解剖分型及DSA表現(xiàn),指導(dǎo)臨床進(jìn)行介入栓塞治療。 方法:收集2007年8月至2009年3月介入病房欲行動(dòng)脈栓塞術(shù)的支氣管擴(kuò)張并咯血患者62例。其中男36例,女26例,結(jié)合胸部增強(qiáng)CT及術(shù)中數(shù)字減影血管造影術(shù)(DSA)確定支氣管擴(kuò)張并咯血患者供血?jiǎng)用},總結(jié)支氣管擴(kuò)張并咯血病人的供血?jiǎng)用}的解剖學(xué)分型及DSA表現(xiàn)。 結(jié)果:62例在介入栓塞術(shù)過程中完成了DSA檢查,其中21例在術(shù)前完成了增強(qiáng)CT檢查。10例DSA示支氣管動(dòng)脈供血,余未見異常;34例DSA示支氣管動(dòng)脈異常,其中主干型14例(支氣管動(dòng)脈增粗、迂曲擴(kuò)張11例,支氣管動(dòng)脈瘤樣擴(kuò)張3例),網(wǎng)狀型12例,多種動(dòng)脈交通吻合型8例。18例DSA示非支氣管源性動(dòng)脈供血,其中肺動(dòng)脈供血12例,肋間動(dòng)脈供血4例,支氣管動(dòng)脈與肺動(dòng)脈形成吻合血管網(wǎng)者2例。 結(jié)論:支氣管擴(kuò)張并咯血與供血?jiǎng)用}的解剖異常有關(guān),其血供解剖類型多樣,了解其常見類型有利于臨床開展介入栓塞治療。
[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.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2009
【分類號(hào)】：R562.22;R322;R816.4

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