支气管扩张大咯血介入治疗临床分析

Clinical Analysis of Interventional Therapy for Bronchiectasis with Massive Hemoptysis

目的分析介入支气管动脉栓塞术治疗支气管大咯血的临床价值.方法对30例经内科治疗失败的支气管扩张大咯血患者,采用Seldinger技术行支气管动脉栓塞,明胶海绵作为栓塞材料.结果30例患者均栓塞成功,即刻止血率100%、治愈率70%、好转率23.3%,有效率100%,三年后复发率6.6%.术后无严重并发症.结论选择性支气管动脉栓塞术治疗支气管扩张所致大咯血具有操作简单、微创、疗效迅速、安全可靠、毒副作用小、并发症少等特点,对内科保守治疗无效的患者同样能够立即止血,取得满意疗效。

Objective To analyse the clinic value of Interventional bronchiectasis artery embolization （BAE） for bronchiectasis with massive hemoptysis. Methods 30 patients who suffered from bronchiectasis with massive hemoptysis and failed by Medicine cure were treated by adopting BAE and Seldinger＇s technique . Gelfoam was taken as the embolic material of BAE . Results BAE was taken successfully on 30 patients, stopping bleeding rate 100% ,cure rate 70% ,amendment rate 23.3% ,efficient rate 100% , relapse rate 6.6% after three years . Conclusion Selective BAE used to treat bronchiectasis with massive hemoptysis has the following advantages, simple operation and tiny trauma ,quick curative effect, safe and dependable, small poisonous side effect, little complications etc. It can also stop bleeding immediately for patients who failed by Medicine cure and obtain satisfied curative effect.