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肺动静脉畸形的DSA检查及介入治疗
【摘要】 目的探讨肺动静脉畸形的DSA表现及介入治疗效果。资料与方法收集2002年~2007年7例肺动静脉畸形的患者,男5例,女2例,对经皮穿刺血管造影检查及经导管进行栓塞治疗的结果进行评价。结果肺动静脉畸形病灶单发5例,多发2例,7例病人中共栓塞治疗9次,栓塞后造影检查示单发病灶完全消失,多发病灶主要异常血管不再显示。临床症状消失6例,减轻1例,无并发症发生。所有病例经3月~5年随访,复发2例,再次栓塞治愈,总有效率100%。结论对肺动静脉畸形的患者进行DSA检查能明确异常血管的特征,介入栓塞治疗是具有操作简单,疗效好、安全的治疗方法。
【Abstract】 Objective To study the DSA and the therapeutic effect of the interventional treatment of pulmonary arteriovenous malformations(PAVMS).Materials and Methods This study included 7 patients with pulmonary arteriovenous malformations from 2002 to 2007.there were 2 females and 5 males in.7 patients.retrospectively analyzing the DSA and the therapeutic effect of the interventional treatment.Result On the angiography,2 patients were presented with multiple lesion and 5 with a solitary lesion.A total of 9 procedures were performed in 7 patients.After treatment there were complete disappearance of the solitary lesion and occlusion of macro shunts in diffuse lesion.6 patients complete recoveried and 1 patients released in symptom,no complication occured...The follow-up period was from 3 months to 5 years in 7 patients,recurrenced in 2 case.the effective power is 100%.Conclusion It can defi ned the characteristic of arteriovenous malformations with the DSA,embolization therapy is a method which is simple、safe and effective in patient with pulmonary arteriovenous malformations.
【Key words】 pulmonary arteriovenous malformations(PAVMS); angiography; embolization;
- 【文献出处】 当代医学 ,Contemporary Medicine , 编辑部邮箱 ,2009年09期
- 【分类号】R543
- 【被引频次】3
- 【下载频次】161