摘要
目的初步探讨弹簧圈联合组织胶经皮动脉介入栓塞治疗异常体动脉供血左肺下叶(ASALLL)基底段的效果及并发症。方法回顾性分析2例ASALLL患者临床表现、影像学表现以及弹簧圈联合组织胶栓塞治疗结果。结果 2例患者临床表现为胸痛、胸闷、咯血、咳嗽、咯痰等;CT检查显示左肺下叶基底段支气管及肺组织正常,左下叶基底段肺动脉缺如,各1支异常体动脉起源于胸主动脉供血左肺下叶基底段;血管造影证实异常体动脉供血情况及相应肺动脉缺如。经皮血管内弹簧圈联合组织胶栓塞异常体动脉后,患者症状改善。结论 ASALLL患者CT和血管造影表现具有特异性,弹簧圈联合组织胶栓塞治疗具有微创、安全有效、恢复快的优点。
Objective To make a preliminary discussion on the efficacy and complications of percutaneous interventional embolization by using spring coils together with tissue glue for the treatment of anomalous systemic artery to left lower lobe(ASALLL),mainly to basal segments.Methods The clinical manifestations,imaging findings and therapeutic outcomes of interventional embolization with spring coils and tissue glue in two patients with ASALLL were retrospectively analyzed.Results Clinically,the 2 patients complained of chest pain and chest tightness with hemoptysis,coughing,expectoration,etc.CT scan showed that the bronchi and lung tissues of the basal segments of the left lower lobe(LLL)were normal,the basal segmental pulmonary artery of LLL was absent,and in each patient an abnormal systemic artery originated from the thoracic aorta was observed,which provided blood supply to the basal segments of LLL.Angiography confirmed the above findings.Percutaneous interventional embolization by using spring coils together with tissue glue was carried out,and the clinical symptoms were improved in both patients.Conclusion ASALLL has characteristic CT and angiographic manifestations.Percutaneous interventional embolization by using spring coils together with tissue glue is minimally-invasive,safe and effective with quick response.
作者
方主亭
杨舒雅
唐仪
吴少杰
蔡森林
周艳峰
FANG Zhuting;YANG Shuya;TANG Yi;WU Shaojie;CAI Senlin;ZHOU Yanfeng(Department of Interventional Radiology,Fujian Provincial Hospital,Provincial Clinical Medical College of Fujian Medical University,Fuzhou,Fujian Province 350001,China)
出处
《介入放射学杂志》
CSCD
北大核心
2019年第4期383-386,共4页
Journal of Interventional Radiology
基金
福建省卫生计生委中青年骨干人才培养项目(2017-ZQN-1)
福建省立医院院内优秀青年科研项目(2014YNQN08)
关键词
异常体动脉
肺脏
介入栓塞
诊断
abnormal systemic artery
lung
interventional embolization
diagnosis
