支气管动脉栓塞治疗肺部恶性肿瘤致咯血的回顾性分析

Analysis of the safe and effective in the management of patients with malignant hemoptysis

目的评估支气管动脉栓塞(BAE)治疗肺部恶性肿瘤致咯血的临床安全性及有效性。方法分析2010年1月-2017年5月在医院接受BAE治疗的肺部恶性肿瘤致咯血患者13例的临床资料。统计并分析其技术成功率、即刻止血成功率、临床成功率、并发症发生率、术后3个月疗效。结果技术成功率为100%(13/13),即时咯血控制成功率为92%(12/13),临床控制成功率为77%(10/13),所有病例均可见肿瘤病灶异常染色,平均栓塞责任血管1.2支/例,所有病例均无严重并发症发生,术后3个月内咯血控制成功率为77%(10/13)。结论对于肺部恶性肿瘤致咯血,BAE是一种较为安全、有效的治疗方式。

Objective To analyse the effectiveness of bronchial artery embolization in patients with malignant hemoptysis. Methods Thirteen patients with malignant hemoptysis underwent bronchial artery and systemic artery embolization from January 2010 to May 2017. The technical success rate,immediate hemostasis success rate,clinical success rate,complication rate,and curative effect after operation were analyzed statistically. Results The success rate of the technique was 100%（ 13/13）,and the success rate of immediate hemoptysis was 92%（ 12/13）,and the success rate of clinical control was 77%（ 10/13）. All cases showed abnormal staining of tumor lesions,and the average embolized blood vessels were 1. 2 vessels/cases. No severe complications occurred in all cases. In 3 months after operation,10 cases of hemoptysis were successfully controlled（ 77%）. Conclusion Arterial embolotherapy for hemoptysis in patients with malignant tumor of the lungs is an effective,safe therapeutic modality.