摘要
目的探讨以咯血为主要症状的叶内型肺隔离症的血管造影特点及栓塞治疗效果,并复习相关文献。方法回顾性分析4例以顽固性咯血为主要症状的叶内型左下肺隔离症患者,咯血时间1周～4年,内科保守治疗无效,造影后采用明胶海绵、Cook弹簧圈或PVA颗粒对责任血管进行栓塞。结果 2例无左下肺组织实变者为单支异常动脉供血的动脉性肺隔离症,2例伴有左下肺组织实变者有3支异常动脉供血。栓塞后咯血即刻停止,随访2～8年,1例多支责任血管明胶海绵栓塞者2年后咯血复发。结论介入栓塞对以顽固性咯血为主要表现的叶内型肺隔离症的治疗是一种可供选择的方法,其远期效果尚有待观察。
Objective To explore the features of angiography and effect of therapeutic embolization for hemoptysis caused by intralobar pulmonary sequestration （PS）, and to review the related literature. Methods Four patients who suffered from refractory hemoptysis as main symptom with intralobar PS in left inferior lung were analyzed retrospectively. The du- ration of hemoptysis was from 1 week to 4 years. Traditional hemostasis of internal medicine was invalid. After transcathe- ter angiography, all the offending vessels responsible for bleeding were embolized with gelfoam or Cook coils and PVA par- ticles. Results Two patients without pulmonary consolidation in left inferior lung were belonging to arterial sequestration （AS） with single abnormal artery respectively. Another two patients with pulmonary consolidation in left inferior lung had 3 abnormal arteries, respectively. After embolization, hemoptysis stopped immediately in all patients. During follow-up from 2 to 8 years, hemoptysis recurred in 1 patient with 3 abnormal arteries embolized with gelfoam 2 years after emboliza- tion. Conclusion Interventional embolization is an alternative option for intralobar PS manifested with refractory hemopty- sis as main symptom, and its long-term result needs further observation.
出处
《中国介入影像与治疗学》
CSCD
2013年第5期257-261,共5页
Chinese Journal of Interventional Imaging and Therapy
关键词
支气管肺隔离症
咯血
放射学
介入性
栓塞
治疗性
Bronchopulmonary sequestration
Hemoptysis
Radiology, interventional
Embolization, therapeutic
