發(fā)布時間：2019-02-24 12:54

【摘要】： 目的:分析支氣管擴張并咯血患者的供血動脈解剖分型及DSA表現(xiàn),指導臨床進行介入栓塞治療。 方法:收集2007年8月至2009年3月介入病房欲行動脈栓塞術的支氣管擴張并咯血患者62例。其中男36例,女26例,結合胸部增強CT及術中數字減影血管造影術(DSA)確定支氣管擴張并咯血患者供血動脈,總結支氣管擴張并咯血病人的供血動脈的解剖學分型及DSA表現(xiàn)。 結果:62例在介入栓塞術過程中完成了DSA檢查,其中21例在術前完成了增強CT檢查。10例DSA示支氣管動脈供血,余未見異常;34例DSA示支氣管動脈異常,其中主干型14例(支氣管動脈增粗、迂曲擴張11例,支氣管動脈瘤樣擴張3例),網狀型12例,多種動脈交通吻合型8例。18例DSA示非支氣管源性動脈供血,其中肺動脈供血12例,肋間動脈供血4例,支氣管動脈與肺動脈形成吻合血管網者2例。 結論:支氣管擴張并咯血與供血動脈的解剖異常有關,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.
【學位授予單位】：大連醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2009
【分類號】：R562.22;R322;R816.4

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