比较研究CTA与DSA对支气管动脉性咯血临床应用价值
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摘要
目的:探讨CT血管造影(CTA)与数字减影血管造影(DSA)对支气管动脉性咯血临床应用价值。方法:选取我院115例支气管动脉性咯血患者(2014年6月—2018年5月),均采取支气管动脉栓塞术治疗。所有患者均采取DSA及CTA检查,统计分析DSA及CTA对咯血支气管动脉显示效果、支气管动脉性咯血患者CTA与DSA表现。结果:以DSA检查结果作金标准,CTA对支气管动脉性咯血患者血管狭窄闭塞、移位与聚拢及支气管动脉-肺循环分流显示情况低于DSA(P<0.05),对远端小血管增多、扩张与紊乱、支气管动脉主干扭曲、增粗等显示情况与DSA间无显著差异(P>0.05);支气管动脉性咯血患者经CTA容积重建及冠状面重建、DSA检查均可见支气管动脉迂曲增粗。结论:CTA对支气管动脉性咯血患者扩张支气管动脉及其所处位置、数目等信息显示效果与DSA检查较接近,利于临床预测患者再次咯血风险,指导相关介入治疗操作,且具有操作简单、无创等优势。
Objective:To investigate the clinical value of CT angiography(CTA) and digital subtraction angiography(DSA) in bronchial arterial hemoptysis.Methods:A total of 115 patients with bronchial arterial hemoptysis(June 2014-May 2018) were enrolled in our hospital. All patients were treated with bronchial artery embolization. All patients underwent DSA and CTA, statistical analysis of DSA and CTA for hemoptysis bronchial artery, CTA and DSA in patients with bronchial arterial hemoptysis.Results:The results of DSA were used as the gold standard. CTA showed vascular stenosis occlusion, displacement and aggregation, and bronchial artery-pulmonary circulation shunt in patients with bronchial arterial hemoptysis, which was lower than DSA(P<0.05). Disorders, bronchial artery main body distortion, thickening and other indications were not significantly different from DSA(P>0.05); bronchial artery hemoptysis patients with CTA volume reconstruction and coronal reconstruction, DSA examination showed bronchial artery tortuosity.Conclusion:The effect of CTA on the bronchial artery and its position and number in patients with bronchial arterial hemoptysis is similar to that of DSA. It is beneficial to clinically predict the risk of hemoptysis and guide the interventional treatment. It has the advantages of simple operation and non-invasiveness.
Objective:To investigate the clinical value of CT angiography(CTA) and digital subtraction angiography(DSA) in bronchial arterial hemoptysis.Methods:A total of 115 patients with bronchial arterial hemoptysis(June 2014-May 2018) were enrolled in our hospital. All patients were treated with bronchial artery embolization. All patients underwent DSA and CTA, statistical analysis of DSA and CTA for hemoptysis bronchial artery, CTA and DSA in patients with bronchial arterial hemoptysis.Results:The results of DSA were used as the gold standard. CTA showed vascular stenosis occlusion, displacement and aggregation, and bronchial artery-pulmonary circulation shunt in patients with bronchial arterial hemoptysis, which was lower than DSA(P<0.05). Disorders, bronchial artery main body distortion, thickening and other indications were not significantly different from DSA(P>0.05); bronchial artery hemoptysis patients with CTA volume reconstruction and coronal reconstruction, DSA examination showed bronchial artery tortuosity.Conclusion:The effect of CTA on the bronchial artery and its position and number in patients with bronchial arterial hemoptysis is similar to that of DSA. It is beneficial to clinically predict the risk of hemoptysis and guide the interventional treatment. It has the advantages of simple operation and non-invasiveness.
引文
1 韩俊,杨晓峰,吴凡,等.支气管动脉CTA在大咯血介入栓塞治疗中临床应用分析[J].医学影像学杂志,2016,26(11):2008-2011.
2 李继军,尚建强,唐军,等.支气管动脉CTA检查在咯血介入治疗中的临床价值[J].医学影像学杂志,2015,25(2):230-233.
3 王晓燕,肖继伟,万钰磊,等.“双低”剂量支气管动脉MSCTA在咯血介入治疗术前的诊断价值[J].南通大学学报:医学版,2016,36(4):253-256.
4 李旭丰,杨海南,陈志远,等.肺动脉、支气管动脉双期CTA成像在咯血介入栓塞治疗中的应用价值[J].中国ct和mri杂志,2017,15(8):73-76.
5 Dabó H1,Gomes R,Marinho A,et al.Bronchial artery embolisation in management of hemoptysis-A retrospective analysis in a tertiary university hospital[J].Rev Port Pneumol,2016,22(1):34-38.
6 姜静波,吴宏成,汤耀东,等.CT支气管动脉造影与传统DSA血管造影在咯血诊治中的对照研究[J].现代实用医学,2013,25(1):33-34.
7 杨敏玲,王栋,冯对平,等.CT血管成像在动脉栓塞治疗咯血中的临床应用价值[J].实用医学影像杂志,2017,18(1):21-24.
8 庞永亮,原桂梅,张万甲,等.128层螺旋CT支气管动脉成像在大咯血患者应用价值探讨[J].现代医用影像学,2017,26(3):767-768.
9 姜静波,吴宏成,汤耀东,等.CTA与DSA对支气管动脉性咯血临床应用价值的比较[J].医学临床研究,2012,29(7):1334-1337.
2 李继军,尚建强,唐军,等.支气管动脉CTA检查在咯血介入治疗中的临床价值[J].医学影像学杂志,2015,25(2):230-233.
3 王晓燕,肖继伟,万钰磊,等.“双低”剂量支气管动脉MSCTA在咯血介入治疗术前的诊断价值[J].南通大学学报:医学版,2016,36(4):253-256.
4 李旭丰,杨海南,陈志远,等.肺动脉、支气管动脉双期CTA成像在咯血介入栓塞治疗中的应用价值[J].中国ct和mri杂志,2017,15(8):73-76.
5 Dabó H1,Gomes R,Marinho A,et al.Bronchial artery embolisation in management of hemoptysis-A retrospective analysis in a tertiary university hospital[J].Rev Port Pneumol,2016,22(1):34-38.
6 姜静波,吴宏成,汤耀东,等.CT支气管动脉造影与传统DSA血管造影在咯血诊治中的对照研究[J].现代实用医学,2013,25(1):33-34.
7 杨敏玲,王栋,冯对平,等.CT血管成像在动脉栓塞治疗咯血中的临床应用价值[J].实用医学影像杂志,2017,18(1):21-24.
8 庞永亮,原桂梅,张万甲,等.128层螺旋CT支气管动脉成像在大咯血患者应用价值探讨[J].现代医用影像学,2017,26(3):767-768.
9 姜静波,吴宏成,汤耀东,等.CTA与DSA对支气管动脉性咯血临床应用价值的比较[J].医学临床研究,2012,29(7):1334-1337.