支气管动脉栓塞术治疗大咯血的临床应用

Clinical Application of Bronchial Artery Embolization in the Treatment of Severe Hemoptysis

目的 探讨支气管动脉栓塞术 (BAE)治疗大咯血的临床应用价值。材料和方法 支气管动脉栓塞术治疗大咯血 2 9例 ,男 2 5例 ,女 4例。平均年龄 4 5 3岁。共栓塞病变血管 4 5支 ,随访其出血量、临床症状 9～ 72个月。结果 近远期疗效分别达 96 6 %和 89 7% ,咯血、复发率仅为 3 4 %和 6 7%。结论 支气管动脉栓塞术能有效控制咯血 ,降低复发率。

Objective To probe into the method of bronchial artery embolization(BAE) and to evaluates clinical application for treating severe hemoptysis. Methods 29 patients with 45 sick bronchial arteries, suffered from, sever hemoptysis, were shown in angiography and embolized. All patients were followed up 9～72 months for amount of hemorrhage and symptoms. Results The short term and long term effective rates were 96.6% and 89.7%, together with the recurrence rates of 3.4% and 7.6%. Conclusion This method could control hemorrhage and reduce relapse effectively.