[1]任医民,伍筱梅,钱元新,等. 食管固有动脉作为非支气管性体动脉参与咯血的介入诊断与治疗[J].介入放射学杂志,2013,(09):734-737.
 REN Yi? min,WU Xiao? mei,QIAN Yuan? xin,et al. Proper esophageal artery as a non?蛳 bronchial systemic feeding artery in hemoptysis: its angiography and embolization[J].journal interventional radiology,2013,(09):734-737.
点击复制

 食管固有动脉作为非支气管性体动脉参与咯血的介入诊断与治疗 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2013年09期
页码:
734-737
栏目:
血管介入
出版日期:
2013-09-19

文章信息/Info

Title:
 Proper esophageal artery as a non?蛳 bronchial systemic feeding artery in hemoptysis: its angiography and embolization
作者:
 任医民 伍筱梅 钱元新 赖 清 梁荣光 温 宇
Author(s):
 REN Yi?蛳 min WU Xiao?蛳 mei QIAN Yuan?蛳 xin LAI Qing LIANG Rong?蛳 guang WEN Yu.
 Department of Radiology, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou, Guangdong Province 510120, China
关键词:
 【关键词】 咯血 食管固有动脉 栓塞 介入性
文献标志码:
A
摘要:
 【摘要】 目的 探讨食管固有动脉(PEA)参与咯血供血的DSA表现及聚乙烯醇(PVA)栓塞治疗的安全性。方法 回顾分析196例咯血保守治疗无效行介入治疗患者的资料,共有32例为异常PEA患者,其中支气管扩张27例,肺部慢性炎症3例,结核性支气管扩张2例,病变均累及肺下叶。分析患者病变PEA的数目、DSA表现、与肺部病变部位、性质的关系,以及PVA栓塞相关并发症。结果 32例患者的DSA表现为血管增粗、迂曲,分支增多、紊乱并进入相邻肺组织。30例(93.75%)PEA与肺动脉交通;PEA供血的肺部病变93.9%位于肺下叶后基底段。未发现与PVA栓塞相关的并发症。结论 PEA可参与咯血供血,当肺内病变累及下叶时,需探查PEA,应用PVA颗粒栓塞异常PEA安全。

参考文献/References:

 [1] Yoon W, Kim JK, Kim YH, et al. Bronchial and nonbronchial systemic artery embolization for life?蛳 threatening hemoptysis: a comprehensive review[J]. Radiographics, 2002, 22: 1395 ?蛳 1409.
[2] Yoon W, Kim YH, Kim JK, et al. Massive hemoptysis: prediction of nonbronchial systemic arterial supply with chest CT[J]. Radiology, 2003, 227: 232 ?蛳 238.
[3] Chung MJ, Lee JH, Lee KS, et al. Bronchial and nonbronchial systemic arteries in patients with hemoptysis: depiction on MDCT angiography[J]. Am J Roentgenol, 2006, 186: 649 ?蛳 655.
[4] 刘振生, 王家祥, 李 澄, 等. 食管固有动脉参与咯血及其解剖学基础[J]. 临床放射学杂志, 2008, 28: 247 ?蛳 249.
[5] Hayakawa K, Tanaka F, Torizuka T, et al. Bronchial artery embolization for hemoptysis: immediate and long?蛳 term results[J]. Cardiovasc Intervent Radiol, 1992, 15: 154 ?蛳 159.
[6] Swanson KL, Johnson CM, Prakasr UB, et al. Bronchial artery embolization: experience with 54 patients[J]. Chest, 2002, 121: 789 ?蛳 795.
[7] 江 森, 朱晓华, 孙兮文, 等. 咯血患者的食管固有动脉造影表现和栓塞治疗[J]. 中华放射学杂志, 2008, 42: 641 ?蛳 644.
[8] 陶 然, 钟震亚, 田国忠, 等. 食管胸部下段器官外供血动脉的解剖学观测[J]. 解剖学研究, 2007, 29: 457 ?蛳 458.
[9] 张胜昌, 钟震亚, 王守安, 等. 食管胸下段器官外及表面动脉的观测[J]. 黑龙江医药科学, 2005, 28: 11 ?蛳 12.
[10] Munk PL, Morris DC, Nelems B. Left main bronchial?蛳 esophageal fistula: a complication of bronchial artery embolization[J]. Cardiovasc Intervent Radiol, 1990, 13: 95 ?蛳 97.
[11] Hsu HK, Su JM. Giant bronchoesophageal fistula: a rare complication of bronchial artery embolization[J]. Ann Thorac Surg, 1995, 60: 1797 ?蛳 1798.
[12] 曾晓华, 邱怀明, 易翠容, 等. 非肿瘤性肺咯血栓塞治疗后咯血复发: 原因与对策[J]. 介入放射学杂志, 2011, 20: 18 ?蛳 21. 

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(09):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(09):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(09):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(09):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(09):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(09):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(09):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(09):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(09):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(09):190.
[11]池嘉昌,许建荣,沈加林,等. 选择性支气管动脉栓塞术控制匿源性咯血[J].介入放射学杂志,2012,(01):27.
 CHI Jia-chang,XU Jian-rong,SHEN Jia-lin,et al.Selective bronchial artery embolization for the treatment of cryptogenic hemoptysis[J].journal interventional radiology,2012,(09):27.
[12]钱元新,伍筱梅,赖 清,等.肋间后动脉与咯血的相关性分析[J].介入放射学杂志,2012,(09):731.
 QIAN Yuan- xin,WU Xiao- mei,LAI Qing,et al. Correlation between posterior intercostal arterial blood supply and hemoptysis[J].journal interventional radiology,2012,(09):731.
[13]张宏文,王小宜,廖伟华,等. α-氰基苯烯酸正辛酯靶血管栓塞治疗难治性大咯血[J].介入放射学杂志,2013,(11):900.
 ZHANG Hong? wen,WANG Xiao? yi,LIAO Wei? hua,et al. Target?蛳 vessel embolization with α?蛳 benzene acid ester for the treatment of intractable massive haemoptysis[J].journal interventional radiology,2013,(09):900.
[14]丁 健,王永利,王征宇,等. “三明治”式支气管动脉栓塞术治疗咯血的临床疗效分析[J].介入放射学杂志,2014,(03):245.
 DING Jian,WANG Yong? li,WANG Zheng? yu,et al. Bronchial artery embolization in ‘sandwich’ pattern for the management of hemoptysis: analysis of clinical effectiveness[J].journal interventional radiology,2014,(09):245.

备注/Memo

备注/Memo:
 (收稿日期:2013-03-20)
更新日期/Last Update: