支气管扩张伴咯血的DSA表现及栓塞治疗  

THE MENIFESTATION OF DIGITAL SUBTRACTION ANGIOGRAPHY AND EMBOLOTHERAPY IN PATIENTS WITH BRONCHIECTASIS AND HEMOPTYSIS

作　　者：斯光晏[1] 文兴[2] 李玉伟[1] 涂国建[1] 李云辉[1] 郭召友[2] 

机构地区：[1]泸州医学院附属医院介入病房,四川泸州646000 [2]资阳市人民医院放射科

出　　处：《泸州医学院学报》2008年第5期524-527,共4页Journal of Luzhou Medical College

摘　　要：目的:探讨支气管扩张伴咯血患者供血动脉的数字减影血管造影(DSA)表现及栓塞治疗的价值、血管造影对支气管扩张患者出现咯血的病因分析。方法:对42例支气管扩张患者行选择性动脉造影,分析其DSA表现,确定供血动脉,选择合适的栓塞剂行栓塞治疗并判断疗效。结果:支气管扩张伴咯血患者的DSA表现主要为供血动脉增粗、支气管动脉肺循环分流。行栓塞治疗的总有效率为97.6%,无严重的并发症发生。结论:支气管扩张患者咯血和动脉的异常有关。经动脉栓塞术前仔细分析DSA表现对栓塞治疗有指导意义。Objective： To investigate the manifestation of digital subtraction angiography （DSA） and its value for embolization therapy in patients with bronchiectasis and hemoptysis and to explore the pathogenisis of hemoptysis of patients with bronehiectasis by DSA. Method： Selective arterial angiography was received by 42 patients to decide the supplying artery and select suitable embolus by analyzing its DSA appearance. Then the suopplying artery was embolised and the curative effect evaluated. Results： The appearance of DSA is dilatation of supplying artery and shunt of bronchial artery and pulmonary circulation in patients with bronchiectasis and hemoptysis. The total effective rate of embolization treatment is 97.6%.All patients do not have severie complication. Conclusion：The hemoptysis of patients with bronchiectasis is concerned with the abnormality of artery. It has guidance meaning for embolization treatment that the doctor should analyse carefully the appearance of DSA before embolization.

关 键 词：支气管扩张症 咯血 血管造影术 数字减影 栓塞 治疗性 

分 类 号：R749[医药卫生—神经病学与精神病学] R735.705[医药卫生—临床医学]