支气管动脉栓塞术治疗大咯血的疗效分析  

Analysis the rseult of bronchial artery embolization in treating large hymoptysis

作　　者：赵发忠[1] 郭顺林[2] 刘新义[1] 翟永富[1] 李玉龙[1] 段克俭[1] 袁彩霞[1] 

机构地区：[1]甘肃省酒泉市人民医院放射科,甘肃酒泉735000 [2]兰州医学院附一院放射科

出　　处：《医学影像学杂志》2003年第11期836-838,共3页Journal of Medical Imaging

摘　　要：目的 :探讨支气管动脉栓塞治疗大咯血的应用价值。方法 :33例大咯血患者行选择性支气管动脉栓塞术。随访 10～ 84个月 ,进行疗效分析。结果 :33例患者一次插管栓塞成功 ,即刻止血率 87.8% ,治愈率 72 .7% ,显效率 2 1.2 % ,好转率 6 % ,总有效率 10 0 % ,复发率 18.1% ,无严重并发症发生。结论 :选择性支气管动脉栓塞术治疗各种病因所致大咯血具有操作简便、微创、疗效迅速、安全可靠、副作用轻、并发症少等特点。对内科保守治疗无效 ,外科手术禁忌者或拒绝外科手术者 。Objective:To detect the value of bronchial artery embolization in treating large hymoptysis.Methods:33 cases of large hymoptysis were performed through using choise interventional therapy of bronchial artery embolization.All cases were followed up with treatmeat effects for 10～80 months.Results:33 cases were cathetered and embolizated successfully by only once and the quick hemostasis rate was 87.8%.Among them,there were 72.7% cured,21.2% significant,and 6% good.The efficient rate was 100% and recurrent was 18%.All cases had no complication occured.Conclusion:Choise bronchial artery embolization had advantage of operating facility and safty,slight invasion and less complication.It's the only therapy method for hymoptysis imvalid to control the bleeding quickly that conservative medical therapy was unsuccessful or surgical treatment was refused or contraindicated.

关 键 词：支气管动脉 放射学 介入性 

分 类 号：R563.6[医药卫生—呼吸系统] R815[医药卫生—内科学]