108例急性大咯血患者中责任NBSA的分布规律  

Distribution of Responsible NBSA in 108 Patients with Acute Massive Hemoptysis

作　　者：张晖[1] 方伟军[1] 杨宏志[1] 官权 钟鹏 Zhang Hui;Fang Weijun;Yang Hongzhi;Guan Quan;Zhong Peng(Department of Radiology,Guangzhou Chest Hospital,Guangzhou,Guangdong 510095)

机构地区：[1]广州市胸科医院放射科,广东广州510095

出　　处：《现代医用影像学》2022年第11期1994-1996,2000,共4页Modern Medical Imageology

基　　金：广州市高水平临床重点专科和培育专科建设项目(编号:穗卫函[2019]1555号);广州市医学重点学科(结核病学)建设项目;2020年广州市卫生健康科技重大专项:广州地区学校结核病防控策略研究(编号:2020A031003)。

摘　　要：目的:探讨108例急性大咯血患者中责任非支气管动脉(NBSA)的分布规律。方法:108例肺结核急性大咯血患者均是在我院诊治的并根据研究的内容筛选出的研究者,所有患者都给予数字减影血管造影(DSA)与CT血管成像(CTA)检查,明确责任NBSA的分布规律。结果:在108例患者中,DSA检出责任NBSA78例,检出率72.22%,共检出责任NBSA 297支;CTA检出责任NBSA 67例,检出率62.04%,共检出责任NBSA 252支。以DSA检查为金标准,CTA检出责任NBSA的符合率85.90%,其中对于胸外侧动脉、甲状颈干、肋颈干的检出符合率为100.00%。结论:108例急性大咯血患者中责任NBSA在分布上以胸廓内动脉、肋间后动脉、肩胛下动脉、甲状颈干动脉等为主,CTA检查具有很高的检出符合率,值得在临床上推广应用。Objective:To investigate the distribution of responsible non bronchial artery(NBSA) in 108 patients with acute massive hemoptysis.Methods:108 patients with acute massive hemoptysis of pulmonary tuberculosis were diagnosed and treated in our hospital, and the researchers were selected according to the content of the study. All patients were examined by digital subtraction angiography(DSA) and CT angiography(CTA) to clarify the distribution of NBSA.Results:In 108 patients, 78 cases of NBSA were detected by DSA, the detection rate was 72.22%, and 297 NBSA were detected. CTA detected 67 cases of responsible NBSA, the detection rate was 62.04%, a total of 252 responsible NBSA were detected. Taking DSA as the gold standard, the coincidence rate of nbsa detected by CTA was 85.90%, and the coincidence rate of lateral thoracic artery, thyroid neck trunk and costal neck trunk was 100.00%.Conclusion:The distribution of NBSA in 108 patients with acute massive hemoptysis is mainly internal thoracic artery, posterior intercostal artery, subscapular artery and inferior phrenic artery. CTA has a high detection coincidence rate, which is worthy of clinical application.

关 键 词：肺结核 急性大咯血 非支气管动脉 数字减影血管造影 CT血管成像 

分 类 号：R459.7[医药卫生—急诊医学]