[1]徐国斌,刘骏方,胡金香,等.支气管扩张大咯血DSA特点及栓塞治疗[J].介入放射学杂志,2008,(04):280.
 XU Guobin,LIU Junfang,HU Jinxiang,et al.DSA findings and bronchial arterial embolization of bronchiectasis with massive hemoptysis[J].journal interventional radiology,2008,(04):280.
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支气管扩张大咯血DSA特点及栓塞治疗()

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

卷:
期数:
2008年04期
页码:
280
栏目:
临床研究
出版日期:
2008-04-15

文章信息/Info

Title:
DSA findings and bronchial arterial embolization of bronchiectasis with massive hemoptysis
作者:
徐国斌刘骏方胡金香
430071武汉大学中南医院放射介入科
Author(s):
XU Guo-binLIU Jun-fangHU Jin-xiangLONG Qing-yun.
Department of Interventional Radiology,Zhongnan Hospital,Wuhan University,Wuhan430071,China
关键词:
支气管扩张咯血数字减影血管造影栓塞
分类号:
R562.22
文献标志码:
A
摘要:
目的探讨支气管扩张(支扩)大咯血病变动脉DSA表现特点及栓塞治疗疗效。方法35例支扩大咯血患者,参考胸片、CT等影像资料行选择性支气管动脉及其他目标血管DSA检查,根据造影表现行病变动脉栓塞治疗,栓塞材料为PVA和(或)明胶海绵颗粒(条),术后随访疗效。结果①DSA表现:病变血管单独为支气管动脉占74.3%,合并非支气管体循环动脉22.9%,单独为非支气管动脉2.9%,异常动脉数量为1~5(平均1.8)支/例。显示出血直接征象25.7%,间接征象100%。②栓塞情况及疗效:栓塞34例共61支病变血管;应用微导管16例。1例3d内栓塞2次无效,3个月内复发4例,3个月后复发2例,栓塞治疗总有效率为85.3%,复发率为20.6%,无脊髓损伤等严重并发症。结论支扩大咯血DSA检查阳性率高,参考造影特点行选择性病变动脉栓塞治疗安全性好,疗效确切。

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备注/Memo

备注/Memo:
收稿日期:2007-06-20
更新日期/Last Update: 2008-04-15