支气管动脉双重栓塞术治疗肺结核咯血

Double-bronchial Artery Embolization for Spitting Blood of Pulmonary Tuberculosis

目的 观察支气管动脉双重栓塞术治疗肺结核咯血的疗效。方法 用明胶微球对支气管动脉末梢和用明胶海绵对支气管动脉主干进行栓塞,阻断末梢血管网络,切断支气管动脉与肺循环分流(B-P分流)的通道和支气管动脉主干血管。结果 通过95例的观察总结,随访3个月,止血成功率达92.6％。结论 支气管动脉双重栓塞术栓塞更完全,是治疗肺结核咯血的有效方法。

Objective To observe the effectiveness of treatment in the patient with spitting blood of pulmonary tuberculosis of donble-bronchial artery embolization.Methods Embolizing the end of bronchial artery with gelatin microglobe and the trunk of bronchial artery with gelfoam to cut off arterial-venous network and broncho-tulmonary shunt.Results In the 95 patients with double-bronchial artery embolization,85 Cases (92.6%) were completely cured.Conclusions Double-bronchial artery embolization is a complete and effective method for spitting blood of pulmonary tuberculosis.