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108例急性大咯血患者中责任NBSA的分布规律 被引量:1

Distribution of Responsible NBSA in 108 Patients with Acute Massive Hemoptysis
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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.
作者 张晖 方伟军 杨宏志 官权 钟鹏 Zhang Hui;Fang Weijun;Yang Hongzhi;Guan Quan;Zhong Peng(Department of Radiology,Guangzhou Chest Hospital,Guangzhou,Guangdong 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)。
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 tuberculosis acute massive hemoptysis non bronchial artery digital subtraction angiography CT angiography
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  • 1江森,孙兮文,支文祥,马骏,尤正千.锁骨下动脉造影在肺咯血动脉栓塞治疗中的临床意义[J].介入放射学杂志,2005,14(4):378-381. 被引量:19
  • 2江森,朱晓华,孙兮文,支文祥,虞栋,彭刚,尤正千,马骏.胸廓内动脉栓塞在肺咯血动脉栓塞治疗中的应用[J].临床放射学杂志,2007,26(5):492-495. 被引量:15
  • 3Ycon W,Kim JK,Kim YH,et al.Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis:a comprehensive review.Radiographics,2002,22:1395-1409.
  • 4Yoon YC,Lee KS,Jeang YJ,et al.Hemoptysis:bronchial and nonbrenehial systemic arteries at 16-detector row CT.Radiology,2005,234:292-298.
  • 5Yoon W,Kim YH,Kim JK,et al.Massive hemoptysis:prediction of nonbronchial systemic arterial supply with chest CT.Radiology,2003,227:232-238.
  • 6Yu-Tang Goh P,Lin M,Teo N,et al.Embolization for hemoptysis:a six -year review.Cardiovasc Intervent Radiol,2002,25:17-25.
  • 7Keller FS,Bosch J,Loflin TG,et al.Nonbronehial systemic collateral arteries:significance in percutancons embolbtherapy for hemoptysis.Radiology,1987,164:687-692.
  • 8Sellars N,Belli AM.Non-bronchial collateral supply from the left gastric artery in massive haemoptysis.Eur Radiol,2001,11:76-79.
  • 9Chun HJ,Yoo SS,Kim HH,et al.Nonbronchial collateral supply from the hepatic arteries of a patient with hemoptysis.AJR,2003,180:523-525.
  • 10Chun HJ,Byun JY,Yco SS,et al.Added benefit of thoracic aortography after transarterial embolization in patients with hemoptysis.AJR,2003,180:1577-1581.

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