摘要
目的 探讨选择性支气管动脉栓塞术（BAE）治疗大咯血的临床应用价值。方法对28例经内科抗感染、止血保守治疗无效的大咯血患者。采用Seldinger技术经噬动脉穿刺插管，行选择性支气管动脉血管减影显像（DSA）检查，根据造影明确咯血病灶后，超选择性插管，用明胶海绵（GS）栓塞。血管粗大者加用明胶海绵条，存在动静脉瘘者加用钢圈行多重栓塞。结果一次栓塞后，咯血立即停止26例，咯血明显减少2例，无效1例，近期止血总有效率96．4％；术后随访6个月-3年，临床治愈18例，显效5例，有效3例，2例复发，中远期止血总有效率为92．9％，未出现严重栓塞并发症。结论支气管动脉栓塞术治疗大咯血是有效的非外科手术技术，是一种高效、安全、操作简便的治疗方法。
Objective To evaluate the clinical application of selective bronchial artery embolization （BAE） for the treatment of severe hemoptysis. Methods With seldinger technique,28 severe hemoptysis patients who had no effect to internal therapy underwent selective DSA in the bronchial artery to identify bleeding site and then were performed by superselective catheterization following gelatin sponge embolization. Stripes of gelatin sponge were used to embolize large abnormal arteries and stainless steels were used in arterial-venous fistula.Results After one time embolization, hemoptysis stopped immediately in 26 cases, 2 eases still had little hemoptysis,and one case of hemorrhage was unable to be controlled. The short- term efficacious rate ,was 96.4%, Followed up 6 months to 3 years after treatment,18 cases were clinical cure,5 cases obviously effective,3 cases effective,and 2 cases recurrent.The long-term effective rate is 92.9%. and no severe complications occurred.Conclusion Bronchial artery embelization for severe hemoptysis is a effective non-surgical technique and is a high effective, safe and simple treatment in controlling bemoptysis.
作者
张海燕
ZHANG Hai-yan （Department of Radiology of Loudi City,Traditional Chinese Medical Hospital,Loudi 417000,China）
出处
《医学信息》
2010年第5期1246-1247,共2页
Journal of Medical Information
