| 陈煌,黄金旗,张庆贤.支气管动脉 CT血管成像在咯血介入治疗中的应用价值[J].安徽医药,2020,24(7):1334-1338. |
| 支气管动脉 CT血管成像在咯血介入治疗中的应用价值 |
| Application value of CT angiography of bronchi arteries in theinterventional treatment of patients with hemoptysis |
| |
| DOI：10.3969/j.issn.1009?6469.2020.07.016 |
| 中文关键词: 咯血 体层摄影术，螺旋计算机 血管造影术，数字减影 栓塞，治疗性 支气管动脉 介入治疗 |
| 英文关键词: Hemoptysis Tomography,spiral computed Angiography,digital subtraction Embolization,therapeutic Arteri? ae bronchiales Interventional therapy (0/, |
| 基金项目: |
|
| 摘要点击次数: 2077 |
| 全文下载次数: 595 |
| 中文摘要: |
| 目的探讨支气管动脉 CT血管成像( CTA)在咯血病人介入治疗中的应用价值。方法收集 2016年 1月至 2017年 3月莆田市第一医院接收的行咯血责任动脉栓塞术( HRAE)治疗的咯血病人 44例，根据病人术前是否行支气管动脉 CTA检查分为观察组( n＝24)和对照组( n＝20)。对比观察组病人咯血责任动脉的 CTA和数字减影血管造影( DSA)影像资料，比较两组病人 HRAE手术时间、术中曝光时间、对比剂用量、导管使用数量以及止血效果。结果观察组 CTA和 DSA共检出 55支责任动脉，每例 1～6支，每例责任动脉( 2.3±1.2)支。 CTA对责任动脉的检出准确率为 87.3%(48/55)，其中支气管系统和非支气管系统的检出准确率分别为 94.4%和 73.7%。DSA在表现支气管动脉 ?肺循环分流、支气管动脉瘤样扩张及远端小血管增多、扩张、紊乱方面优于 CTA。对照组和观察组手术时间分别为( 71.7±15.4)、(45.9±11.7)min，术中曝光时间为( 24.3±8.5)、(15.4±6.6)min，对比剂用量为( 88.4±26.3)、(48.9±18.4)mL，差异有统计学意义( P＜0.05)；而两组术中导管使用数量差异无统计学意义( P＞0.05)。对照组和观察组术后即刻止血率分别为 95.0%(19/20)和100%(24/24)(P＝0.455)；随访 12个月，两组再出血率分别为 27.8%(5/18)和 0%(0/23)(χ2＝4.913，P＝0.027)。结论支气管动脉 CTA对咯血责任动脉检出率较高，有助于降低 HRAE手术时间、术中曝光时间、对比剂用量及术后再出血率，值得临床推广应用。 |
| 英文摘要: |
| Objective To explore the application value of CT angiography of bronchi arteries in theinterventional treatment of pa? tients with hemoptysis.Methods Totally 44 patients with hemoptysis treated with hemoptysis relative artery embolization(HRAE) in The First Hospital of Putian Cityfrom January 2016 to March 2017 were collected as study objects，and were divided into obser? vation group(n＝24)and control group(n＝20)according to whether underwent bronchial artery CTA or not.Image data of CTA and digital subtraction angiography(DSA)of hemoptysis relative artery in the observation group was compared.And time of HRAE? operation，exposure time during the operation，contrast dosage，utilization number of catheter，and hemostatic effect between the two groups were compared.Results Totally 55 offending arteries were found using CTA and DSA in the observation group，with 1 to 6(2.3±1.2)in each patient.The detection accuracy of CTA for offending arteries was 87.3%(48/55).Detection accuracy for bronchus system and no bronchus system were 94.4%and 73.7%，respectively.DSA was better than CTA in observing bronchial artery?pulmo? nary circulation shunt，broncho aneurysm dilation，and distal vascular increasing，dilatation and disorders.The operation time of the control group and the observation group were(71.7±15.4) min and(45.9±11.7) min respectively，intraoperative exposure time were(24.3±8.5)min and(15.4±6.6)min，and the contrast agent dosage were(88.4±26.3)mL and(48.9±18.4)mL，the differ? ence were statistically significant(P＜0.05).Difference of utilization number of catheter in the two groups had no statistics signifi? cance(P＞0.05).Immediate hemostasis after surgery in thecontrol groupand observation group were 95.0%(19/20)and 100%(24/ 24)( P＝0.455)respectively.Follow up for 12 months，recurrent bleeding rate in thecontrol groupand observation group were 27.8%(5/18)and 0%23)( χ2＝4.913，P＝0.027).Conclusion Detection rate of bronchi arteries CTAfor hemoptysis offending arter?ies is high.Bronchi arteries CTA is good for decreasing time of HRAE operation，exposure time during the operation，contrast dos? age，and postoperative rebleeding rate，which is worthy of clinical application. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
