肺硬化性血管瘤伴大咯血一例并文献复习  

DSA findings and interventional therapy of pulmonary sclerosing hemangioma complicated by massive hemoptysis: report of one case with literature review

作　　者：付志刚[1] 张晓磷[1] 罗仕华[1] 张志刚[1] 亓小虎[1] 熊雄[1] 

机构地区：[1]湖北宜昌三峡大学第一临床医学院宜昌市中心人民医院放射科,443003

出　　处：《介入放射学杂志》2013年第6期498-501,共4页Journal of Interventional Radiology

摘　　要：目的探讨肺硬化性血管瘤的DSA表现及介入栓塞治疗价值。方法回顾1例肺硬化性血管瘤伴大咯血患者的DSA表现及介入栓塞治疗,并复习相关文献。结果肺硬化性血管瘤的DSA主要表现为边缘光滑的类圆形结节影,动脉早期肿瘤周边染色,随时间延长,染色不均匀加深,呈"渐进性"染色特点。介入栓塞支气管动脉后肿瘤血管及染色消失,咯血即刻停止。后经手术与病理证实为肺硬化性血管瘤,术中未予输血。结论肺硬化性血管瘤DSA表现较具特征性,介入栓塞治疗对控制其出血及减少术中出血具有重要意义。Objective To discuss DSA findings of pulmonary sclerosing hemangioma （PSH） and to evaluate the interventional embolization therapy in treating PSH. Methods The clinical data of one patient with PSH in association with massive hemoptysis, including DSA findings and the results of embolization treatment, were retrospectively analyzed. The relevant medical literature of PSH was reviewed. Results On DSA the PSH lesion was mainly characterized by spherical nodule with a smooth border. Remarkable staining at the tumor＇s periphery could be seen at the early arterial stage, which became inhomogeneous and gradually deepen in color along with the time passing, taking a form of ＂progressive staining＂ pattern. Immediately after the embolization of the involved bronchial artery was accomplished the tumor staining as well as the tumor-feeding arteries disappeared, and the hemoptysis ceased as well. The lesion was finally proved to be puhnonaly sclerosing hemangioma by both surgery and pathology. Blood transfusion was not needed （luring the operation. Conclusion Puhnonary sclerosing hemangioma carries most characteristic imaging features on DSA. Interventional transarterial embolization is of great value in controlling the clinical bleeding and reducing the blood loss during operation. （J tntervent Radiol, 2013, 22： 498-501）

关 键 词：肺硬化性血管瘤 数字血管减影 大咯血 介入治疗 

分 类 号：R734.2[医药卫生—肿瘤]