数字减影支气管造影的临床应用  

Clinical Application of Digital Subtraction Bronchography

作　　者：李刚[1] 刘进康[1] 曾纪珍[1] 周正明[1] 

机构地区：[1]湖南医科大学附属湘雅医院放射科

出　　处：《中国医学影像学杂志》1997年第3期164-166,共3页Chinese Journal of Medical Imaging

摘　　要：目的：利用数字减影技术改善碘支气管造影影像及副作用。材料和方法：应用数字减影支气管造影（ＤＳＢ）技术共检查３５例患者，其中１９例选用７６％泛影葡胺磺胺混悬液，１２例用２０％泛影葡胺、４例用稀释的优维显（Ｕｌｔｒａｖｉｓｔ）做造影剂。结果：３５例ＤＳＢ影像均达优质，但用低浓度泛影葡胺病例的术中术后不良反应明显低于高浓度泛影葡胺。根据ＤＳＢ影像诊断支气管扩张１１例，支气管炎５例，支扩并支气管炎１５例、肺结核１例、支气管狭窄２例、正常１例。结论：ＤＳＢ技术可明显降低碘水的使用浓度，减少副反应，而且图像优良、易于实施。Purpose: To use technique of digital Subtraction to improve images and to reduce adverse reaction of bronchography with aqua iodiode. Materials and Methods: A total of 35 patients were examined with digital subtraction bronchography (DSB). Among 35 cases, 19 cases were showed by 76% diatrizoate sulfanilamide mixture, 12 cases by 20% diatrizoate injection and 4 cases by dilut Ultravist. Results; DSB images of 35 cases were evaluted excellent quality, but adverse reaction in or after operation by lower concentration diatrizoate were marked lower than high concentration diatrizoate. According to DSB images diagnosed bronchiectasis 11, bronchitis 5, bronchiectasis and bronchitis 15, Pulmonary tuberculosis 1, bronchiarctia 2 and normal 1. Conclusion: Using DSB can markedly drop concentration of aqua iodioda and reduce adverse reaction, but imgae is of high grade. It is easy to perform.

关 键 词：数字减影 支气管造影 支气管影像 

分 类 号：R816.4[医药卫生—放射医学]