64排螺旋CT支气管动脉成像对咯血的诊断意义  

Diagnostic significance of bronchial artery imaging by 64-slice spiral CT for hemoptysis

作　　者：舒圣捷[1] 赵雁鸣[1] 刘白鹭[1] 赵德利[1] 贾广生[1] 张黎黎[1] 王非[2] 王海波[1] 张海涛[1] 

机构地区：[1]哈尔滨医科大学附属第二医院CT室,黑龙江哈尔滨150081 [2]哈尔滨医科大学附属第二医院胸外科,黑龙江哈尔滨150081

出　　处：《哈尔滨医科大学学报》2014年第6期497-499,共3页Journal of Harbin Medical University

基　　金：黑龙江省自然科学基金研究项目(42411671-X);黑龙江省卫生厅科研课题(2009139);黑龙江省卫生厅科研课题(2013162)

摘　　要：目的探讨支气管和非支气管动脉系统的64排CT支气管动脉成像对以咯血为主要症状的肺部疾病的诊断价值。方法对28例咯血患者进行64排CT支气管动脉成像。分析所得的CT图像以确定支气管和非支气管系统的动脉的位置。结果 CT可见支气管动脉情况为右侧43支,左侧46支;正常起源的支气管动脉占总数的46%;起源于非支气管动脉系统的动脉中有23支位于右侧,41支位于左侧。结论 64排CT支气管动脉成像不仅可以确定支气管动脉及非支气管动脉系统的血管位置,还可以明确以咯血为主要症状的疾病的病因,为临床进一步治疗奠定基础。Objective To discuss the diagnostic value of bronchial and non-bronchial artery system by 64-slice CT bronchial artety imaging in patients with hemoptysis as the main symptom of lung disease .Methods 64-slice CT bronchial artery imaging was performed in 28 patients with hemoptysis .The resulting CT images were analysed to identify position of the bronchial and non-bronchial systemic artery .Results Bronchial arteries were shown in the CT images as follows, 43 bronchial arteries were identified on the right side and 46 on the left side; normal origin of bronchial artery accounted for 46%of the total .Twenty-three arteries of all the arter-ies originated in the non-bronchial arterial system were located on the right , and 41 on the left side .Conclusion 64-slice CT bronchial artety imaging can not only determine the location of the bronchial and non-bronchial systemic artery , but also confirm the reason of the disease with hemoptysis as the main symptom .Then, it may lay the foundation for further clinical treatment .

关 键 词：支气管动脉 血管造影术 体层摄影术 X线计算机 咯血 

分 类 号：R814.42[医药卫生—影像医学与核医学]