摘要
目的探讨PVA颗粒联合金属弹簧圈栓塞在支气管扩张咯血中的临床应用价值。方法采用改良Seldinger法对我院收治的支气管扩张咯血并经内科保守治疗无效的24例患者行PVA联合金属弹簧圈在DSA路径引导下进行栓塞,并进行1年的随访观察。结果 24例成功栓塞的患者中,1个月内复发0例,3个月内复发1例,1年内复发2例,止血总有效率91.7%。结论采用PVA联合金属弹簧圈栓塞对支气管扩张咯血患者是一种及时有效的方法,不易复发,值得临床推广应用。
Objective To investigate the clinical application value of PVA combined with coils embolization in the control of hemoptysis caused by bronchiectasis. Methods Twenty four patients who complained of hemoptysis caused by bronchi- ectasis and underwent conservative therapies were included in this study. All patients were treated by a modified Seldinger method and underwent PVA combined with coils embolization under the guidance of DSA road map method. The therapeu- tic results were evaluated by one year's follow up. Results All patients' target vessels were successfully embolized after the procedure. One patient recurred within 3 months. Two patients recurred within 1 year. The total effective rate of bleeding control in this group was 91.7 %. Conclusion PVA combined with coil embolization is a timely and effective pro- cedure in the control of hemoptysis caused by bronchiectasis.
出处
《医学影像学杂志》
2013年第11期1699-1702,共4页
Journal of Medical Imaging
关键词
咯血
支气管扩张
介入栓塞
疗效
Hemoptysis
Bronchiectasis
Embolizatiom E^ficacy