支气管动脉栓塞术治疗肺结核咯血的中远期疗效评价

The clinical value of Bronchial Artery Embolization in hemoptysis with pulmonary tuberculosis

目的探讨支气管动脉栓塞术治疗肺结核咯血的中远期疗效。方法对1124例肺结核咯血病人行支气管动脉栓塞术。术后全部进行了随访,时间18～96个月,平均60±8个月,分析其临床特点及治疗效果。结果1124例全部达到即刻临床止血,即刻止血100%;2例(0.18%)术后出现脊髓损伤;中远期复发57例,复发率5.1%。结论支气管动脉栓塞术创伤小、痊愈快、并发症少,应视为治疗肺结核咯血的重要方法。

Objective To discuss the long - term clinical value of Bronchial Artery Embolization in hemoptysis. Methods 1124 patients with hemoptysis which diagnosed pulmonary tuberculosis were treated by Bronchial Artery Embolization. Those were closely observed the occurrences of complication and followed up 18 months to 96 months evaluate the efficacy after operation ,the average period is （60 ± 8 ） months, and to observe the difference ending. Results 1124 cases with hemoptysis were embolized. The results are as follows ： the instant homostasis rate was 100%, the recurrence rate was 5. 1% in the middle or long-term, and no significant complication related to embolization were observed except that 2 patients marrow were injured. Conclusion In the operation of BAE, bronchial embolization is an effective way to improve the curative effect and to lower the recurrence rate of hemoptysis, on the premise that we could avoid the significant complications successfully.