ThevalueofthefusiontechnologyofbronchialarteryCTAwith 3Dreconstructionoftracheaininterventionaltreatmentsforhemoptysis
10.3969/j.issn.1002-1671.2019.04.007
- VernacularTitle:支气管动脉CT血管成像与气管三维重建融合技术对咯血介入治疗的价值
- Author:
Haifeng LIU
1
;
Dongyou ZHANG
;
Xiaoling GAO
;
Nlong YI
Author Information
1. 武汉市第一医院放射科
- Keywords:
computedtomography;
bronchialartery;
hemoptysis
- From:
Journal of Practical Radiology
2019;35(4):541-543,553
- CountryChina
- Language:Chinese
-
Abstract:
Objective TodiscussthevalueofthefusiontechnologyofbronchialarteryCTA with3Dreconstructionoftracheain interventionaltreatmentsforhemoptysis.Methods AretrospectiveanalysiswasconductedinthefusionimagesofthebronchialarteryCTA with 3DreconstructionoftracheaandDSAin58patientswithhemoptysis,therelatedparametersofthebronchialartery(BA)wereobserved (the typeofBA,thebronchialopening,thebronchialoriginandthepositionrelationshipbetweenthebronchus),andthestatisticalanalysiswas performed.Results Inthe58hemoptysispatients,CTArevealed156BAs,including73leftBAs,76rightBAsand7heterotopic BAs.Therewere67BAsresponsibleforhemoptysis,ofwhich64BAswerefromnormaloriginand3BAswerefromheterotopicorigin.Four typesofBAswerefoundandthemostwereR1L1,accountingfor44.8%.BAsaboveandbelowthetrachealcarinaaccountedfor61.5% and 38.5%,respectively.Themeandiameterwas(3.56±1.21)mmforBAsresponsibleforhemoptysisand (1.67±0.32)mmforBAs irresponsibleforhemoptysis.Conclusion ThefusiontechniqueofbronchialarteryCTAandtracheal3Dreconstructionoftracheacan welldetecttheoriginofthesuspectedhemoptysisresponsibilityBA,theposition,andtherelationshipbetweentheshapeandthebifurcation ofthebronchusI.tcanbeusedasthefirstchoiceofroutineexaminationforhemoptysisinterventionaltherapy.
