支气管动脉CT血管成像在支气管动脉栓塞治疗中的作用  

The clinical application of CTA in the bronchial artery embolization treatment

作　　者：张兵[1] 岳天华[1] 黄健[2] 赵辉[2] 门忠杰[3] ZHANG Bing;YUE Tianhua;HUANG Jian;ZHAO Hui;MEN Zhongjie(Department of Radiology ,the Affiliated Jianhu Hospital of Nantong University,Nantong,Jiangsu Province 224700,China;Department of Interventional Radiology ,the Affiliated Hospital of Nantong University,Nantong, Jiangsu Province 226001,China;Department of Interventional Radiology,Weihai Municipal Hospital ,Weihai, Shandong Province 264200, China)

机构地区：[1]南通大学附属建湖医院影像科,江苏南通224700 [2]南通大学附属医院介人放射科,江苏南通226001 [3]威海市立医院介人放射科,山东威海264200

出　　处：《实用放射学杂志》2019年第6期963-966,共4页Journal of Practical Radiology

摘　　要：目的评价支气管动脉CTA在支气管动脉栓塞中作用。方法28例患者根据支气管动脉栓塞前是否行支气管动脉CTA检查,分为A、B2组.A组栓塞前常规行支气管动脉CTA检查,根据CTA显示的支气管动脉走行分布,选择合适的导管勾住支气管动脉,行造影及栓塞处理。B组栓塞前未行支气管动脉CTA检查,常规引入各种导管分别行支气管动脉、肋间动脉、锁骨下动脉及膈动脉等动脉造影,寻找责任血管,给予栓塞处理。对2组病例总体治疗效果、手术时间、DSA曝光时间及对比剂使用剂量观察比较。结果A组栓塞前CTA与DSA造影比较,支气管动脉显示一致性达90.9%。A组栓塞后有效率100%,B组有效率83.33%;A组手术时间(66.9±14.5)min、DSA曝光时间(27.9±13.8)min及对比剂使用剂量(89.7±17.1)mL,B组手术时间(133.5±19.4)min、DSA曝光时间(55.1±17.2)min及对比剂使用剂量(235.1±16.6)mL。2组比较差异有统计学意义(P<0.01)。结论支气管动脉栓塞术前常规行支气管动脉CTA检查,在增加手术成功率、节约手术时间、提高疗效等方面具有优势。Objective To evaluate the clinical application of CTA in the bronchial artery embolization treatment.Methods TwentyGeight patients undergoing bronchial artery embolization treatment were divided into two groups.Patients with the examination of bronchial artery CTA before interventional treatment were in group A,others in group B.In group A,according to the distribution of the bronchial artery shown by the CTA,the appropriate catheter was selected for the bronchial artery angiography and embolization.In group B,various catheters for the bronchial artery angiography were performed to find the responsible blood vessels for embolization.The total therapeutic effect, operation time,DSA exposure time and contrast agent were compared between the two groups.Results The pretreatment CTA and DSA contrast were compared and the consistency of the bronchial artery was 90.9%.The effective efficiency of group A was 100%, and the effective rate of group B was 83.3 3%.The time of operation was (6 6.9 ± 1 4.5 )min in group A and (1 3 3.5 ± 1 9.4)min in group B,respectively.DSA exposure time was (2 7.9 ± 1 3.8)min and (5 5.1 ± 1 7.2 )min respectively,and the contrast agent dosage was (89.7±1 7.1)mL and (235.1±1 6.6)mL respectively.The differences between the two groups were statistically significant (P<0.0 1).Conclusion The bronchial artery CTA examination before interventional treatment is an advantage in increasing the success rate,saving time,and improving efficacy.

关 键 词：支气管动脉 CT血管成像 支气管动脉栓塞 介入治疗 

分 类 号：R814.42[医药卫生—影像医学与核医学] R815[医药卫生—放射医学]