支气管动脉解剖变异的数字减影血管造影表现及临床意义  

DSA Findings and Clinical Value of Anatomical Variation of Bronchial Arteries

作　　者：王守权[1] 王亮[1] 付巧梅[1] 石春艳[1] 彭卫斌[2] 狄镇海[2] 张建[2] 

机构地区：[1]江苏大学医学技术学院医学影像系 [2]江苏大学附属医院介入科,江苏镇江212001

出　　处：《江苏大学学报（医学版）》2005年第3期247-249,共3页Journal of Jiangsu University：Medicine Edition

基　　金：江苏大学大学生科研资助项目(A081)

摘　　要：目的:统计支气管动脉解剖变异的类型,探讨支气管动脉解剖变异对肺部疾病介入诊断和介入治疗的临床意义。方法:对1995年～1999年期间所做的选择性支气管动脉造影、灌注化疗及栓塞的47例患者的临床资料进行回顾性分析,统计支气管动脉起源、开口水平、分支类型、共干情况及开口距脊柱中轴线的距离。结果:47例患者中,46例支气管动脉都开口于胸主动脉;1例患者的右支气管动脉起源于右锁骨下动脉。开口于T5～6水平右侧占86.6%,左侧占86.0%。支气管动脉干为1～3支,两侧支气管动脉为1～2支。支气管动脉开口位置在脊柱中轴线的左侧,距脊柱中轴线的距离左侧为3～4cm,右侧为1～2cm。结论:熟悉支气管动脉解剖变异的类型,有利于提高支气管动脉插管的成功率和肺部疾病介入治疗的治愈率,减少并发症的发生。Objective: To take statistics about the types of the anatomical variations of bronchial arteries and to study the clinical value of the anatomical variations of bronchial arteries on the interventional diagnosing and therapy of the pulmonary diseases. Methods: A retrospective analysis was done by the clinical data in forty-seven patients with selective bronchial arteriography, perfusion, chemotherapy, and embolization performed from 1995 to 1999. The statistics were taken of the bronchial arterial origins, the levels of the orificiums, the types of the branches, the states of the common trunks, and the distances between the orificiums and the middle axes line of the spinal column. Results: Of the 47 cases, the bronchial artery comes from the descending thoracic aorta in 46 cases and only one case whose right bronchial artery arises from the right subclavicular artery was found. Arising from the right or left of the level of T_(5～6) were accounted for (86.6%) or 86.0%, respectively. The number of the bronchial truncus arteriosus was 1～3 and the number of the bilateral bronchial arteries was 1～2. The orificiaum of the bronchial arteries laid on the left of the middle axes line of the spinal column. The distances from the orificiaums to the middle axes line of the spinal column are 3～4 cm on the left and 1～2 cm on the right. Conclusion: Being familiar with the types of the anatomic variations of the bronchial arteries is conducive not only to increase the success rates of the catheterization of the bronchial arteries and the cure rates of the interventional therapies of the pulmonary diseases, but also to decrease the complications.

关 键 词：支气管动脉 解剖变异 数字减影血管造影 介入性 放射学 

分 类 号：R322.1[医药卫生—人体解剖和组织胚胎学] R817[医药卫生—基础医学]