[1]赖清,伍筱梅,陈永富,等.体动脉侧支血管参与咯血供血的影像学研究[J].介入放射学杂志,2009,(06):429.
 LAI Qing,WU Xiao-mei,CHEN Yong-fu,et al.Imaging study of non-bronchial systemic collateral supply in hemoptysis[J].journal interventional radiology,2009,(06):429.
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体动脉侧支血管参与咯血供血的影像学研究()

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

卷:
期数:
2009年06期
页码:
429
栏目:
血管介入
出版日期:
2009-06-15

文章信息/Info

Title:
Imaging study of non-bronchial systemic collateral supply in hemoptysis
作者:
赖清伍筱梅陈永富
510120广州医学院第一附属医院放射科(赖清、伍筱梅);广东省江门市五邑中医院(陈永富、任医民)
Author(s):
LAI QingWU Xiao-meiCHEN Yong-fuREN Yi-min
Department of Radiology,the First Affiliated Hospital,Guangzhou Medical College,Guangzhou510120,China
关键词:
咯血CT血管造影支气管动脉体动脉侧支胸膜增厚
分类号:
R563.6
文献标志码:
A
摘要:
目的探讨非支气管性体动脉侧支(NBSC雪在支气管咯血病变中的意义,及其对支气管动脉(BA)的影响。方法回顾分析124例支气管咯血患者的多层螺旋CT(MSCT)血管造影。采用实时螺旋薄层CT增强扫描,在独立工作站行胸部体动脉三维重建,统计NBSC和BA数目,测量其内径及病变区域邻近胸膜厚度。根据NBSC发现情况,资料分别归入NBSC组和无NBSC组作统计学分析。结果NBSC参与供血36例,BA内径平均值为(1.850±0.631)mm,其中病灶附近胸膜增厚22例(61%),厚度为2.7~16.0mm,平均(7.71±4.12)mm;无NBSC供血88例,BA内径的平均值为(2.200±0.528)mm,病灶附近胸膜增厚7例(8%),厚度为1.1~2.4mm,平均(1.7±0.53)mm,两组间BA平均值和伴有胸膜增厚差异均有统计学意义(P值均<0.05)。结论NBSC能分流支气管动脉向咯血病变的供血,成为咯血的主要供血来源。显著的胸膜增厚是产生NBSC供血的重要原因。

参考文献/References:

[1]刘凤永,段峰,王茂强,等.支气管动脉栓塞术治疗支气管扩张大咯血失败原因之一:膈下动脉参与供血[J].介入放射学杂志,2008,17:88-91.
[2]Corder R.Hemoptysis.Emerg Med Clin North Am,2003,21:421-435.
[3]Goh PYT,Lin M,Teo N,et al.Embolization for hemoptysis:a six-year review[J].Cardiovasc Intervent Radiol,2

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备注/Memo

备注/Memo:
收稿日期:2008-11-24
更新日期/Last Update: 2009-06-15