支气管扩张并咯血的血供解剖学分析及DSA表现

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1、大连医科大学硕士学位论文支气管扩张并咯血的血供解剖学分析及DSA表现姓名：高鹏申请学位级别：硕士专业：人体解剖与组织胚胎学指导教师：隋鸿锦20090601支气管扩张并咯血的血供解剖学分析及DSA表现硕士生姓名：高鹏指导教师：隋鸿锦教授专业名称：人体解剖与组织胚胎学摘要目的：分析支气管扩张并咯血患者的供血动脉解剖分型及DSA表现，指导临床进行介入栓塞治疗。方法：收集2007年8月至2009年3月介入病房欲行动脉栓塞术的支气管扩张并咯血患者62例。其中男36例，女26例，结合胸部增强CT及术中数字减影血管造影术(DSA)确定支气管扩张

2、并咯血患者供血动脉，总结支气管扩张并咯血病人的供血动脉的解剖学分型及DSA表现。结果：62例在介入栓塞术过程中完成了DSA检查，其中21例在术前完成了增强CT检查。1O例DSA示支气管动脉供血，余未见异常；34例DSA示支气管动脉异常，其中主干型l4例(支气管动脉增粗、迂曲扩张11例，支气管动脉瘤样扩张3例1，网状型12例，多种动脉交通吻合型8例。18例DSA示非支气管源性动脉供血，其中肺动脉供血12例，肋间动脉供血4例，支气管动脉与肺动脉形成吻合血管网者2例。结论：支气管扩张并咯血与供血动脉的解剖异常有关，其血供解剖类型多样，了

3、解其常见类型有利于临床开展介入栓塞治疗。关键词：支气管扩张症咯血解剖学数字减影血管造影术供血动脉TheanatomicalbasisandmenifestationofdigitalsubtractionangiographyinpatientswithbronchiectasisandhemoptysisMasterdegreecandidate：GaoPengSupervisor：ProfessorSuiHongJinMajor：HumanAnatomyandHistologyandEmbryologyAbstractObje

4、ctive：Toanalyzethesupplyingarteriesandmenifestationofdigitalsubtractionangiography(DSA)inpatientswithbronchiectasisandhemoptysisforitsclinicalapplicationonembolizationtherapyits．Methods：62caseswithbronchiectasisandhemoptysiswereselectedfromAugust2007toMarch2009ininter

5、ventionalward．Amongthem36casesweremaleand26werefemale．ToconfirmthesupplyingarteriesandmenifestationofDSAinpatientswithbronchiectasisandhemoptysisbycontrast．enhancedCTandDSA．Results：62casesfinishedtheDSAexaminationthroughtheemboliza—tiontherapyits．21casesofthemfinished

6、contrast—enhancedCTexamina—tionbeforetheembolizationtherapyits．10casesshowedthatthesupplyinarterieswerethebranchialarteriesbyusingDSAwithoutanyotheabnormality．34casesshowedthatthesupplyingarteriesweretheabnormalitybranchialarteries，14casesoftrunktype(11caseswithshunof

7、bronchialarteries，3caseswithaneurismalexpansionofbronchialarteries)，12casesofmeshtype，8caseswithmatchtypebykindsofcommunicatingarteries．18casesshowedthatthesupplyingarterieswerenotthebranchialarteries．12casesofpulmonaryarteries，4casesofintercostalarteries，2casesofneva

8、scularsbetweenthebranchialarteriesandpulmonaryarteries．Conclusion：Thehemoptysisofpatientswithbronchiectasisisconcern—edwitht