支气管动脉CT血管成像在咯血患者介入治疗中的应用价值  

Application value of bronchial artery CT angiography in interventional treatment of hemoptysis patients

作　　者：汪明雪 WANG Mingxue(Department of Respiratory and Critical Care Medicine,Affiliated Hospital of Jiujiang University,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]九江学院附属医院呼吸与危重症医学科,江西九江332000

出　　处：《中国当代医药》2023年第26期38-41,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202131101)。

摘　　要：目的分析支气管动脉(BA)CT血管成像(CTA)在咯血患者介入治疗中的应用价值。方法选取2021年1月至12月于九江学院附属医院治疗的84例咯血患者作为研究对象,依据术前是否行CTA检查分为两组,将术前行CTA检查的42例患者纳入观察组,将术前未行CTA检查的42例患者纳入对照组。两组均采用支气管动脉栓塞术(BAE)治疗,观察组于介入治疗前行CTA检查,对照组介入治疗前未行CTA检查。分析CTA咯血责任BA检出情况,比较两组手术及曝光时间、对比剂用量、止血效果、再发咯血、并发症及死亡情况。结果观察组42例患者中CTA共检出咯血责任BA有78支,数字减影血管造影(DSA)共检出咯血责任BA有81支,CTA咯血责任BA检出率为96.30%(78/81);观察组手术及曝光时间均短于对照组,对比剂用量少于对照组,差异有统计学意义(P<0.05);观察组再发咯血率低于对照组,差异有统计学意义(P<0.05);两组止血成功率、死亡率比较,差异无统计学意义(P>0.05);两组均未出现脊髓损伤、食管溃疡等并发症。结论BA CTA对咯血责任动脉检出率较高,BA CTA用于咯血患者介入治疗中有利于缩短手术时间及曝光时间,减少对比剂用量,降低术后再出血率。Objective To analyze the application value of bronchial artery(BA)CT angiography(CTA)in interventional treatment of hemoptysis patients.Methods A total of 84 patients with hemoptysis treated in the Affiliated Hospital of Jiujiang University from January to December 2021 were selected as the study objects and divided into two groups according to whether CTA examination was performed before surgery.Fourty-two patients who underwent CTA examination before surgery were included in the observation group,and 42 patients who did not undergo CTA examination before surgery were included in the control group.Both groups were treated with bronchial artery embolization(BAE).CTA examination was performed in the observation group before interventional therapy,while no CTA examination was performed in the control group before interventional therapy.The detection of BA in CTA hemoptysis was analyzed,and the operation,exposure time,dosage of contrast agent,hemostatic effect,recurrence of hemoptysis,complications and death of the two groups were compared.Results Among the 42 patients in the observation group,a total of 78 responsible BA for hemoptysis were detected by CTA,and 81 responsible BA were detected by digital subtraction angiography(DSA).The detection rate of responsible BA for hemoptysis by CTA was 96.30%(78/81).The operation and exposure time of the observation group were shorter than those of the control group,and the dosage of contrast agent was less than that of the control group,the differences were statistically significant(P<0.05).The rate of recurrent hemoptysis in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There were no significant differences in the success rate of hemostasis and mortality between the two groups(P>0.05).There were no complications such as spinal cord injury and esophageal ulcer in both groups.Conclusion BA CTA has a higher detection rate of the responsible artery for hemoptysis.The use of BA CTA in interventional treatment

关 键 词：咯血 支气管动脉CT血管成像 介入治疗 止血效果 再发咯血 

分 类 号：R562.2[医药卫生—呼吸系统]