CT血管成像指导大咯血介入栓塞治疗的价值研究

CT angiography imaging guidance big haemoptysis the value of interventional embolization therapy research

目的 分析CT血管成像在指导大咯血介入栓塞治疗的临床价值.方法 选择2016年3月至2017年10月于本院进行介入栓塞治疗的112例大咯血患者作为研究对象,根据是否采取术前CT血管成像分为A组(n=63)、B组(n=49),分析比较两组CT血管成像的结果 及手术概况.结果 CT血管成像检出支气管动脉为责任血管的灵敏度、特异度分别为95.2%、80.0%,检出肺体外循环动脉为责任血管的灵敏度、特异度分别为90.9%、75.0%;CT血管成像包括支气管动脉主干增粗、远端分支多且杂、分流等情况;A组导管支数、总透视时间、总手术时间分别为(1.3±0.3)支、(12.1±2.8)min、(26.8±7.5)min,均显著低于B组的(1.4±0.2)支、(13.6±4.2)min、(30.3±7.9)min(P<0.05).结论 CT血管成像对大咯血介入栓塞治疗具有一定的指导意义,可提高咯血介入治疗的应用价值.

Objective To analyze CT vascular imaging in guiding big haemoptysis the clinical value of interventional embolization.Methods 112 patients with massive hemoptysis who underwent interventional embolization in our hospital from March 2016 to October 2017,according to whether preoperative CT angiography,they were divided into group A(n=63)and group B(n=49).CT angiography results and operation situation between two groups were compared.Results The sensitivity and specificity of CT angiography to detect the bronchial artery as the responsible blood vessel were 95.2%and 80.0%,respectively,and the sensitivity and specificity of the pulmonary extracorporeal circulation artery to the responsible blood vessel were 90.9%and 75.0%,respectively.CT angiography including the enlargement of bronchial artery,remote branch was much and miscellaneous,shunt,and so on and so forth.Group A catheter counts,total time perspective,total operation time was(1.3±0.3),(12.1±2.8)min and(26.8±7.5)min,which were significantly lower than that of group B(1.4±0.2),(13.6±4.2)min and(30.3±7.9)min(P<0.05).Conclusion CT angiography for big haemoptysis interventional embolization therapy has certain guiding significance and can improve the application value of interventional treatment haemoptysis.