[1]孙志超,董伟华,肖湘生,等.多排CT血管造影对肺癌支气管动脉灌注化疗的指导意义初探[J].介入放射学杂志,2008,(03):172.
 SUN Zhichao,DONG Weihua,XIAO Xiangsheng,et al.The role of multislice CT angiography in bronchial arterial chemo-infusion for lung cancer:preliminary result[J].journal interventional radiology,2008,(03):172.
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多排CT血管造影对肺癌支气管动脉灌注化疗的指导意义初探()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年03期
页码:
172
栏目:
肿瘤介入
出版日期:
2008-03-15

文章信息/Info

Title:
The role of multislice CT angiography in bronchial arterial chemo-infusion for lung cancer:preliminary result
作者:
孙志超董伟华肖湘生
200003上海第二军医大学长征医院影像科
Author(s):
SUN Zhi-chaoDONG Wei-huaXIAO Xiang-shengLI Hui-minYU HongPENG Liao-he
Changzheng Hospital,The Second Military Medical University,Shanghai200003,China
关键词:
肺癌支气管动脉供血动脉多层CT血管造影
分类号:
R437.2
文献标志码:
A
摘要:
目的探讨术前胸部CT血管造影对经支气管动脉治疗肺癌的指导意义。方法回顾性分析20例原发性肺癌患者,术前均行胸部16排螺旋CT血管造影(CTA),在轴位图(Ax)基础上行多平面重建(MPR)、容积再现(VR)及最大密度投影(MIP),重建供应肺癌的支气管动脉及其他体循环动脉,并以此为参照,在DSA下对患者行支气管动脉化疗灌注栓塞,术中记录寻找到的支气管动脉及非支气管动脉体循环动脉数目。结果胸部CTA共发现34支动脉参与肺癌供血,包括支气管动脉27支(其中异位于右锁骨下动脉的支气管动脉1支)、肋间动脉3支、内乳动脉和膈下动脉各2支。34支动脉均在介入治疗中顺利插管并证实为肺癌供血动脉,DSA造影还发现在CTA上未发现的患侧3支支气管动脉不参与肿瘤供血。结论多排螺旋CT血管造影可显示肺癌的供养血管(包括支气管动脉和非支气管体循环供血动脉)及其走行情况,有助于经支气管动脉介入治疗。

参考文献/References:

[1]肖湘生,欧阳强,韩希年,等.肺癌血供的DSA研究及临床意义[J].中华放射学杂志,1997,3l :446-448.
[2]董伟华,肖湘生,李惠民,等.支气管动脉和肺动脉多层螺旋CT血管造影对肺癌血供的研究[J].中华放射学杂志,2003,37:612-614.
[3]韩铭钧,颜小琼,王丽雅,等.支气管动脉的血液供应:大白鼠鳞癌模型的血管灌注与选择性支气管动脉造影的对照研究[J].中华放射学杂志,1988,22:243-245.
[4]韩铭钧,冯敢生,杨建勇,等.肺动脉不参与肺癌血供?实验和DSA研究[J].中华放射学杂志,2000,34:802-804.
[5]Viamonte M Jr.Angiographic evaluation of lung neoplasms [J].Radiol Clin North Am,1965,3:529-542.
[6]Hellekant C.Bronchial angiography and intraarterial chemo -the rapy with mitomycin—C in bmnchogenic carcinoma :anatomy ,technique,complications[J].Acta Radiol Diagn(Stockh),1979,20:478-496.
[7]Uflacker R,Kaemmerer A,Picon PD,et al.Bronchial artery embolization in the management of hemoptysis:technical aspects and long-term results[J].Radiology,1985,157:637-644.
[8]Kauczor HU,Mayer E,Schweden F,et al.Spiral CT of bran-chial arteries in chronic thromboembolism[J].J Comput Assist Tomogr,1994,18:855-861.
[9]Murayama S,Hashiguchi N,Murakami J,et al.Helical CT imaging of bronchial arteries with curved reformation technique in comparison with selective bronchial arteriography:prelimi-nary report[J].J Comput Assist Tomogr,1996,20:749-755.
[10]Yoon W,Kim JK,Kim YH,et al.Bronchial and nonbronchial systemic artery embolization for life threatening hemoptysis:a comprehensive review[J].Radio l Graphics,2002;22:1395-1409.
[11]于红,李惠民,刘士远,等.原发性肺癌的支气管动脉CT血管造影[J].临床放射学杂志,2005,24:1063-1066.
[12]Yoon W,Kim YH,Kim JK,et al.Massive hemoptysis:predic-tion of nonbronchial systemic arterial supply with chest CT[J].Radiology,2003,227:232-238.
[13]于红,李惠民,肖湘生,等.支气管动脉CT血管造影[J].中国医学计算机成像杂志,2005,11:314-319.
[14]Yoon YC,Lee KS,Jeong YJ ,et al.Hemoptysis:Bronchial and nonbronchial systemic arteries at16-detector row CT[J].Radiology,2005,234,292-298.
[15]Jean-Baptiste E.Clinical assessment and management of massive hemoptysis[J].Crit Care Med,2000,28:1642-1647.

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备注/Memo

备注/Memo:
收稿日期:2008-01-10
更新日期/Last Update: 2008-03-15