叶内型肺隔离症致咯血的栓塞治疗  

Embolization for hemoptysis in patients with intralobar pulmonary sequestration

作　　者：苏秀琴[1] 高嵩[1] 孟祥文[1] 张进[1] 张彩珍[1] 林常青[1] 

机构地区：[1]山西医科大学第二医院影像科,山西太原030001

出　　处：《实用医学影像杂志》2006年第6期394-396,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨叶内型肺隔离症患者咯血的栓塞治疗效果。方法结合文献复习,回顾性分析6例叶内型肺隔离症患者血管造影表现,并对畸形动脉行栓塞治疗。结果6例叶内型肺隔离症患者血管造影显示畸形动脉7支,表现为粗大、迂曲的体循环血管影;在毛细血管期可见隔离肺叶染色及引流静脉早显;静脉期显示引流静脉(肺静脉)。6例患者均进行畸形血管栓塞治疗,临床止血总有效率100%,随访1a均未复发。结论畸形血管栓塞术对叶内型肺隔离症致咯血的治疗,安全有效。Objective To discuss the efficacy of deformed artery embolization（DAE） for treating the hemoptysis in patients with intralobar pulmonary sequestration（lIS）. Methods Six patients with ILS initially underwend chest angiography and DAE. The angiographic findings and the efficacy of DAE in all patients were retrospectively analyzed together with review of the literature. After the embolization,all patients were followed - up for one year. Results On angiographic images, 7 deformed arteries of 6 patients with ILS were thickened and flexuous systemic vascular shadows, on capillary phase, the stain of sequestered lobe and the early visualization of drainage vein were visible, while on venous phase, drainag vein （pulmonary vein）were visible. After embolization, the hemoptysis in 6 cases all were controlled effectively and the effective rate was 100 %. There was no recurrence found in any case. Conclusion DAE is a safe and effective modality in the treatment of ILS - hemoptysis.

关 键 词：肺隔离症 咯血 栓塞术 血管造影 

分 类 号：R563.9[医药卫生—呼吸系统]