【摘要】 目的通过临床病例分析,了解肺动静脉畸形(PAVM)的临床和影像学表现,提高诊断水平。方法回顾分析我院2001年1月~2007年1月确诊的9例PAVM患者的临床和影像学资料。结果(1)男6例、女3例,年龄16~46岁平均年龄37.5岁。(2)主要症状活动后心悸、气短、咯血等,主要体征表现为口唇紫绀、杵状指、背部闻及血管搏动性杂音。(3)9例PAVM病例均为DSA所证实,4例位于左肺,5例位于右肺。其中结节型2例,异常交通血管型7例。结论PAVM发病率低,容易误诊,MSCT及重建技术对肺动静脉畸形的诊断具有重要价值,并能为治疗提供依据。更多还原

【Abstract】 Objective To evaluate the clinical and radiological manifestation of pulmonary arteriovenous malformation(PAVM) and improve the diagnosis ability of this rare disease through clinical case analysis.Methods Nine PAVM confirmed PAVM cases were retrospectively studies.The cases were inpatients in our hospital from January 2001 to January 2007.Results 1(1) There were 6 male and 3 female patients with the average age of 37.5(16~46) years old.(2)The complains included cardiopalmus and breathlessness after exertion and hemoptysis and the main signs included cyanosis acropachy and pulmonary vascular bruit.(3) 9 patients were improved by DSA,4 cases located in left lung and 5 cases located in right lung.2 cases belonged to the nodule series and 7 cases belonged to the abnormal transportation blood vessel series.It was also divided into simple series and multiplicity series.Conclusion PAVM is an uncommon disease,and can be easily misdiagnosed.MSCT and its reconstruction techniques have important value in diagnosing pulmonary arteriovenous malformation,and can provide important instruction to its treatment.更多还原