肺动静脉畸形的DSA检查及介入治疗  

作　　者：李玉伟[1] 张富强[2] 袁亮[1] 斯光宴[1] 李云辉[1] 

机构地区：[1]泸州医学院附属医院介入病房,646000 [2]泸州医学院

出　　处：《当代医学》2009年第9期67-69,共3页Contemporary Medicine

摘　　要：目的探讨肺动静脉畸形的DSA表现及介入治疗效果。资料与方法收集2002年～2007年7例肺动静脉畸形的患者,男5例,女2例,对经皮穿刺血管造影检查及经导管进行栓塞治疗的结果进行评价。结果肺动静脉畸形病灶单发5例,多发2例,7例病人中共栓塞治疗9次,栓塞后造影检查示单发病灶完全消失,多发病灶主要异常血管不再显示。临床症状消失6例,减轻1例,无并发症发生。所有病例经3月～5年随访,复发2例,再次栓塞治愈,总有效率100%。结论对肺动静脉畸形的患者进行DSA检查能明确异常血管的特征,介入栓塞治疗是具有操作简单,疗效好、安全的治疗方法。Objective To study the DSA and the therapeutic effect of the interventional treatment of pulmonary arteriovenous malformations （PAVMS）. Materials and Methods This study included 7 patients with pulmonary arteriovenous malformations from 2002 to 2007. there were 2 females and 5 males in. 7 patients, retrospectively analyzing the DSA and the therapeutic effect of the interventional treatment. Result On the angiography ,2 patients were presented with multiple lesion and 5 with a solitary lesion .A total of 9 procedures were performed in 7 patients. After treatment there were complete disappearance of the solitary lesion and occlusion of macro shunts in diffuse lesion. 6 patients complete recoveried and 1 patients released in symptom, no complication occured ... The follow-up period was from 3 months to 5 years in 7 patients, recurrenced in 2 case . the effective power is 100%. Conclusion It can defined the characteristic of arteriovenous malformations with the DSA, embolization therapy is a method which is simple, safe and effective in patient with pulmonary arteriovenous malformations.

关 键 词：肺动静脉畸形 血管造影术 栓塞 

分 类 号：R543[医药卫生—心血管疾病]