摘要
对３２７例大咯血拟行支气管动脉栓塞术（ＢＡＥ）和３１３例次肺癌拟行支气管动脉灌注术（ＢＡＩ）者的术前支气管动脉造影（ＢＡＧ）所见进行了归纳分析，认为有三组Ｘ线征，即感染组的１１种Ｘ线征，肺癌组的９种Ｘ线征，畸形组的３种Ｘ线征。认识这些征象对出血血管的判断及栓塞血管的选择、栓塞适应症的选择、灌注血管的选择和疗效的判断均具有重要临床意义。并对ＢＡＧ在选择栓塞血管的可靠性，ＢＡＥ失败的病理机制及栓塞剂的改进，对隐源性咯血的定位和诊断，对血管畸形的诊断意义等进行了讨论。
The radiologic findings of BAG in 327 patients with massive hemoptysis and 313 cases with lung cancer were described.The findings were helpful in deciding the arteries to be embolized for control of hemoptysis and infused with anti-cancer drugs for treatment of lung cancer.If gelatine microspheres were used together with gelfoarn in ernbolization(double embolization)the successful rate in control of hemoptysis increased from 79% to 91 %。In hemoptysis of obscure cause with normal chest film,CT and bronchography showed some BAG abnormalities in 83.6% of cases,In 13 such cases pulmonary resections were performed.Pathologic changes could be found in all the specimens. This il-lustrated the sensitivity of BAG in detection of pulmonary diseases and reliability in localization of bleeding site,Sometimes BAG is the only available measure in detecting deformity of pulmonary blood vessels that might be the cause of hemoptysis.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1994年第2期85-88,共4页
Chinese Journal of Radiology
关键词
咯血
肺肿瘤
癌
血管造影
栓塞疗法
Hemoptysis Cancer,bronchogenic Angiography Embolization,therapeatic
