摘要
目的探讨膈下动脉参与咯血的相关因素,为介入治疗提供指导。方法回顾分析371例咯血患者的临床资料及多层螺旋CT(MSCT)、DSA等影像资料。观察膈下动脉参与咯血的发生率、起源、形成体-肺循环分流的情况,以及与基础疾病的相关性。结果 371例咯血患者中104例存在膈下动脉参与咯血,占28%。共发现135支膈下动脉参与咯血,分别起源于腹主动脉壁(86支)、腹腔干(37支)、右肾动脉(10支)、左肾动脉(1支)、肠系膜上动脉支副肝动脉(1支)。其中114支存在体-肺循环分流,占84.4%。结论膈下动脉与咯血密切相关,且多数伴有BPS;基础疾病以单纯支气管扩张最常见。
Objective To determine the possible factors of hemoptysis to guide interventional treatment of hemoptysis. Methods CT and DSA of 371 patients with hemoptysis were retrospectively analyzed. The incidence of inferior phrenic artery as a source of hemoptysis and development of bronchopulmonary shunt was evaluated. Results Of 371 patients, 135 inferior phrenic arterial collaterals were the source of hemoptysis in 104 （28%） patients. The collaterals originated from the aorta （86）, celiac trunk （37）, right renal artery （10）, left renal artery （1）, and accessory hepatic artery arising from the superior mesenteric artery （1）. Bronchopulmonary shunt developed in 114/135 （84.4%） inferior phrenic arterial collaterals. Conclusions Inferior phrenic arteries are closely related to hemoptysis and are often accompanied by bronehopulmonary shunt. Bronchiectasis is the most common underlying cause of inferior phrenic arterial supply in hemoptysis.
出处
《影像诊断与介入放射学》
2013年第3期216-218,共3页
Diagnostic Imaging & Interventional Radiology
基金
广东省中医药局科研课题
(项目编号:20122093)
关键词
咯血
膈下动脉
数字血管造影
体-肺循环分流
栓塞
Hemoptysis
Inferior phrenic artery
Digital subtraction angiography
Bronchopulmonary shunt
Embolization
