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对33例胸膜病变患者作胸壁动脉造影,初步发现对胸膜肉瘤和细菌性胸膜炎有一定诊断价值。方法经动脉导管作选择性造影。在锁骨下动脉注射造影剂后拍片,观察乳内动脉和终止于胸壁的腋动脉分支;然后取仰卧位作胸主动脉造影,最终显示肋间后动脉。根据所得结果,再作选择性造影,胸壁动脉造影可见下列征象:①血管增生:轻度增生—血管扩张,伴有少量新生血管,但范围较小;明显增生～有多量新生血管,且范围广泛,②胸膜血管造影征;③恶性病变动脉造影征:新生血管混乱,小动脉截断,造影剂潴留,动静脉分流以及肿瘤造影征。
33 cases of pleural disease in patients with chest wall angiography, initially found on pleural sarcoma and bacterial pleurisy have a certain diagnostic value. Methods The selective catheterization of the ductus arteriosus. After subclavian artery injection of contrast agent film, observe the internal mammary artery and the axillary artery terminating in the chest wall; then take the supine position for thoracic aortography, the final display of the intercostal artery. According to the results, and then for selective angiography, chest wall arteriography shows the following signs: ① angiogenesis: mild hyperplasia - vasodilation, with a small amount of neovascular, but a small range; significant hyperplasia ~ a large number of new blood vessels, and a wide range , ② pleural angiography signs; ③ malignant lesions arteriography: neovascular disorders, truncus arterioles, contrast media retention, arteriovenous shunt and tumor angiography.