期刊文献+

CT平扫预测咯血患者非支气管动脉体循环侧支供血 被引量:3

Non-enhanced CT predicting nonbronchial systemic arterial supply in patients with hemoptysis
下载PDF
导出
摘要 目的评价CT平扫预测咯血患者非支气管动脉体循环侧支供血的价值。方法对56例咯血患者术前行螺旋CT平扫。将邻近病变肺实质的胸膜增厚大于3mm作为咯血患者存在侧支供血的标准。以血管造影结果为参照,与患者胸部CT扫描进行比较,对CT预测不同部位肺部病变存在侧支供血的敏感性、特异性及准确性进行评价。结果CT预测侧支供血总的敏感性、特异性及准确率分别为72.73%、95.00%及91.11%。其敏感性于上外侧及后外侧病变相对较高,而于前内侧、肺底及下内侧病变相对较低;特异性及准确性于以上各部位均较好。结论CT平扫在一定程度上能够预测咯血患者侧支供血,对选择性血管造影及栓塞治疗具有重要参考价值。 Objective To assess the prediction value of nonbronchial systemic arterial supply in hemoptysis patients with non-enhanced CT. Methods Fifty-six consecutive patients with hemoptysis underwent non-enhanced CT. Thickness of pleural adjacent to parenchymal lesion larger than 3 mm was regarded as index of nonbronchial systemic arterial supply. Conventional angiography was used as the standard of reference. CT findings were compared with those of conventional angiography. The sensitivity, specificity, and accuracy of CT for predicting nonbronchial systemic arterial supply were assessed. Results The sensitivity, specificity and accuracy of CT for predicting nonbronchial systemic arterial supply were 72.73 %, 95.00% and 91.11%, respectively. Sensitivity was higher when nonbronehial systemic arterial supply located in superolateral and posterolateral lung, and lower in anteromedial and inferior lung. Specificity and accuracy were high for predicting nonbronehial systemic arterial supply in every locations. Conclusion Non-enhanced CT can predict nonbronchial systemic arterial supply in patients with hemoptysis, which is helpful for selecting angiography and embolization.
出处 《中国介入影像与治疗学》 CSCD 2009年第4期363-366,共4页 Chinese Journal of Interventional Imaging and Therapy
关键词 咯血 体层摄影术 X线计算机 血管造影 侧支循环 Hemoptysis Tomography, X ray computed Angiography Collateral circulation
  • 相关文献

参考文献10

  • 1Khalil A, Fartoukh M, Tassart M, et al. Role of MDCT in identification of the bleeding site and the vessels causing hemoptysis. AJR Am J Roentgenol, 2007, 188(2) :W117 -125.
  • 2于红,李惠民,沈策,刘士远,李成洲,肖湘生.咯血患者的胸部16层CT血管造影[J].中国医学计算机成像杂志,2005,11(6):380-383. 被引量:12
  • 3Yoon YC, Lee KS, Jeong YJ, et al. Hemoptysis: bronchial and nonbronchial systemic arteries at 16 detector row CT. Radiology, 2005,234(1) :292 298.
  • 4Remy-Jardin M, Bouaziz N, Dumont P, et al. Bronchial and nonbronchial systemic arteries at multi-detector row CT angiography: Comparison with conventional angiography. Radiology, 2004,233 (3) :741-749.
  • 5Bruzzi JF, Remy Jardin M, Delhaye D, et al. Multi-detector row CT of hemoptysis. Radiographics, 2006,26 (]) : 3-22.
  • 6Andersen PE. Imaging and interventional radiological treatment of hemoptysis. Acta Radiol, 2006,47(8):780-792.
  • 7Yoon W, Kim YH, Kim JK, et al. Massive hemoptysis: prediction of nonbronchial systemic arterial supply with chest CT. Radiology, 2003,227(1):232-238.
  • 8Sellars N, Belli AM. Non bronchial collateral supply from the left gastric artery in massive hemoptysis. Eur Radiol, 2001, 11(1): 76-79.
  • 9Wong ML, Szkup P, Hopley MJ. Percutaneous embolotherapy for life-threatenlng hemoptysis. Chest, 2002,121 ( 1 ) : 95-102.
  • 10王永岗,汪良骏,张德超,张汝刚,张大为,孟平均.胸段食管鳞癌淋巴结转移特点及临床意义[J].中华肿瘤杂志,2000,22(3):241-243. 被引量:113

二级参考文献8

共引文献122

同被引文献34

引证文献3

二级引证文献43

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部