摘要
目的探讨使用PVA颗粒结合明胶海绵、不锈钢圈行选择性支气管动脉双重栓塞，以达到安全有效治疗大咯血，降低其复发率的目的。方法56例大咯血患者均行选择性支气管动脉栓塞，栓塞剂为PVA颗粒明胶海绵条和／或微屑及不锈钢圈，56例中的52例随访6～34个月，4例失访．结果即刻止血41例，近远期疗效分别达94．7％和90．7％，复发率9．3％，但发作次数和出血量减少，生命质量改善。无严重并发症（主要是脊髓损伤）发生。结论使用PVA颗粒结合明胶海绵及不锈钢圈行选择支气管动脉双重栓塞能安全有效控制咯血，能明显降低复发率。
Objective To evaluate the effect of PVA combined with gelatinum sponge and coil to pedform selective bronchi artery embolism. Our aim was to treat the serious hemoptysis securely and effectively, as well as decrease it＇s recrudescent rate. Methods 56 patients with serious hemoptysis were treated with selective bronchi artery embolism, embolic materials was PVA granule gelatinum sponge strip and / or particulate and coil. 52 cases of 56 cases had been followed up for 6 - 34 months, 4 cases lost followup. Results 41 cases were stanched immediately, current and long -dated curative effect were 94.7% and 90.7% respectively,recurrence rate was 9.3%, but the outbreak time and haemorrhage quantity were decreased, without any serious complication （mostly spinal cord injury）. Conclusion Selective bronchi artery embolism by using gelatinum sponge and coil could safely and effectively treat serious hemoptysis, as well as decrease its recrudescent rate.
出处
《医药论坛杂志》
2006年第8期28-29,共2页
Journal of Medical Forum
关键词
支气管动脉
栓塞
咯血
治疗
介入
Bronchial rtery
Embolization
Hemoptysis
Treatment
Intervention
