支气管动脉栓塞治疗大咯血的临床应用

Application of Bronchial Artery Embolization in Treating Patients with Hemoptysis

目的探讨支气管栓塞术在治疗大咯血中的临床价值.方法回顾性析海军安庆医院2009年1月至2011年12月收治的经内科治疗无效的咯血患者29例,在选择性支气管动脉造影下,以聚乙烯醇颗粒或明胶海绵行栓塞治疗,并对术后临床疗效和不良反应进行观察.结果术后治疗总有效率达96.6%,治愈率为79.3%,未见明显的不良反应,术后平均随访5.6个月(3～12个月),未见复发病例.结论支气管栓塞术治疗大咯血具有创伤小、操作简单、疗效可靠、起效快等特点,值得临床推广.

Objective To investigate the clinical effect of bronchial artery embolization in treating patients with hemoptysis. Methods 29 patients with hemoptysis who failed in medicine therapy were treated by bronchial artery embolization using PVA or gelfoam as embolic agent, and the clinical effect and adverse reaction were observed after treatment. Results The tota efficiency and cure rate was 96.6% and 79.3%, respectively. There was no obvious adverse reaction. And after 3 to 12 months followed-up, there was no relapse. Conclusion Bronchial artery embolization in treating patients with hemoptysis has advantages of small wound, simply operation and good efficiency, and it is worth bein spread and applied clinically.