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非支气管体动脉与咯血的相关性分析

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目的:探讨非支气管体动脉(NBSA)参与咯血的相关因素,提高栓塞治疗效果。方法:回顾分析46例咯血患者的临床资料CT及DSA检查资材。观察NBSA参与咯血的发生率,形成体~肺循环分流(BPS)的情况,以及与胸膜增厚等基础疾病的相关性。结果:46例患者中有20例患者的43支NBSA参与咯血供血,其中37支(86.0%)合并BPS。20例患者中有17(85%)例伴有不同程度胸膜增厚。NBSA参与形成BPS、咯血与胸膜增厚明显相关(P<0.05)。结论:肋间后动脉等NBSA是重要的咯血相关体动脉;参与肺咯血与胸膜增厚密切相关,且多数伴有BPS。
Objective To investigate the correlation between non—bronchial systemicarterial(NBSA) bloodsupply and hemoptysis in order to improve the therapeutic results of interventional treatment.Methods Theclinical data, CT andDSAimaging of 46 patients with hemoptysiswere retrospectively analyzed.The occurrence of NBSA involving in the lesion’s bloodsupply,the formation of broncho—pulmonary shunt(BPS)were determined.The relationships between each other of the factors wereanalyzed.Statistical analysis wasper-formed by using X2 test.Results In 20 patients a total of 43NBSAs were involved in hemoptysis.Of the 43NBSAs,coexisting BPS was found in 37(86.0%).Of the 20 patients,pleural thickening were seenin 17(85.0%).The correlation between NBSA blood supply BPS and hemoptysis in patients with pleural thickeningwas statisticallysignificant (P<O.05).Conclusion The NBSAs related to the blood supply of hemoptysis.Its participation in hemoptysis is strongly related to thepleural thickening,and in most cases it is accompa-nied with BPS.

hemoptysisnon bronchial systemic arterysystemicpulmonary shuntpleural thickening

朱聪辉、林文集、林毓鹏

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福建省泉州市第一医院 362002

咯血 非支气管体动脉 体一肺循环分流 胸膜增厚

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(8)
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