摘要
目的：探讨血管内栓塞治疗支气管动脉畸形的临床价值。方法本组18例患者，13例为支气管动脉-肺动脉瘘，3例为支气管动脉-肺静脉瘘，2例为支气管动脉瘤，临床表现均为反复咯血，均行支气管动脉造影，明确病变性质、部位、范围、程度及血供情况，然后超选择插管至病变处，进行栓塞治疗，栓塞方法及栓塞剂的种类、剂量根据病变性质、造影表现及插管具体位置进行选择。结果18例患者均通过动脉造影明确诊断，均为支气管动脉畸形所致的咯血。介入栓塞治疗后所有患者咯血停止，随防6-20个月，均未再次咯血。结论血管内栓塞治疗支气管动脉畸形，安全有效、创伤小、并发症少，是行之有效的治疗方法。
Objective To evaluate the clinical value of superselective transcatheter arterial embolization for the treatment of bronchial artery malformation .Methods 18 patients with bronchial artery malformation ,including 13 cases of bronchi-al-pulmonary artery fistula ,10 of bronchial-pulmonary vein fistula ,and 2 of bronchial artery aneurysm had hemoptysis re-peatedly .All patients were diagnosed by selective angiography for localization ,characteristic ,extent ,degree and blood supply ,and followed by embolization with various embolic materials through seldinger method .Results All patients were correctly diagnosed through selective angiography .There were no patients having symptoms after interventional therapy . During 6-20 month follow-up ,the satisfactory embolization effect was observed .Conclusion Superselective transcathe-ter embolization for bronchial artery malformation is both safe and effective .
出处
《医学影像学杂志》
2014年第10期1739-1741,1744,共4页
Journal of Medical Imaging
关键词
支气管动脉
畸形
栓塞
咯血
Bronchial artery
Malformation
Embolization
Hemoptysis
