支气管动脉栓塞术治疗咯血的临床疗效

The clinical valuation of bronchial arterial embolism in treatment of hemoptysis

目的:探讨应用明胶海绵颗粒和/或聚乙烯醇(polyvinglacohol PVA)颗粒进行支气管动脉栓塞对支气管扩张咯血的临床价值。方法:18例支气管扩张咯血患者,数字减影血管照影(digitalangiography DSA)下行双肢支气管动脉造影并应用明胶海绵颗粒和/或聚乙烯醇(polyvinglacohol PVA)颗粒进行栓塞治疗。结果:12例PSA显示出阳性征象,表现为造影外溢,经栓塞治疗后10例患者立即停止,随访6个月,1例咯血患者在治疗5个月咯血复发后,行第二次栓塞止血,未见严重的并发症。结论:支气管动脉造影及栓塞术对支气管扩张咯血有较高的应用价值,其微创伤,并发症少,迅速,有效,安全的控制出血的特点,宜作为支气管扩张咯血治疗首选方法。

objective:to value the clinical worth of bronchial arterial embolism with gelatin or/and PVA in treatment of hemoptysis.Methods:double-limbs bronchial arteriography with digital angiography DSA,then embolotherapy with gelatin or/and PVA in 18 patients.Results:positive characters(contrast solution outside) displaied in 12 patients,posiive characters disapeared in 10 patients immediately with embolotherapy,all patients were followed up for six months and no serious complications.Conclusion:Bronchial arteriography and Embolization were higher aplication woth in treatment of hemoptysis of bronchodilation.They should be firstly selected in treatment of hemoptysis of bronchodilation.because of micro-trauma、 few complications 、velocity、effection and safety in Control of hemorrhage.