高温高压处理后明胶海绵在肺咯血动脉栓塞术中的应用初探  

Artery Embolization with High Heat-pressure-treated Gelatin Sponge to Control Pulmonary Hemoptysis:A Preliminary Application

作　　者：江森[1] 孙兮文[1] 支文祥[1] 尤正千[1] 虞栋[1] 彭刚[1] 孙春轶[1] 

机构地区：[1]同济大学附属上海市肺科医院影像科,上海市政民路507号200433

出　　处：《中国医学计算机成像杂志》2008年第1期59-62,共4页Chinese Computed Medical Imaging

摘　　要：目的:探讨高温高压处理后的明胶海绵作为栓塞剂在动脉栓塞治疗肺咯血中的应用价值。材料和方法:19例行动脉栓塞治疗的肺咯血患者,其中肺结核9例,单纯性支气管扩张7例,肺癌术后继发性支气管扩张1例,肺癌1例,原因不明1例。所有患者在动脉栓塞治疗中均应用高温高压处理后的明胶海绵作为栓塞剂,术后进行疗效随访。结果:所有患者均行出血动脉的双重栓塞术。所有患者均行支气管动脉栓塞术,附加行肋间动脉栓塞术4例,附加行胸廓内动脉栓塞术3例,附加行肩胛下动脉栓塞术1例,附加行心包膈动脉栓塞术1例。19肺咯血患者经动脉栓塞术后随访至今,临床疗效满意,无术后严重并发症。结论:高压高温处理后的明胶海绵作为栓塞剂治疗肺咯血,不仅临床疗效满意而且非常经济,适合目前我国的国情,值得推广。Purpose： To evaluate the clinical value of artery embolization with high heat - pressure - treated gelatin sponge to control pulmonary hemoptysis. Materials and Methods： Nineteen cases of pulmonary hemoptysis undertook artery embolization with high heat - pressure - treated gelatin sponge, Among them, 9 cases were pulmonary tuberculosis, 7 cases were simple bronchiectasis, 1 case was postoperative bronchiectasis, 1 case was pulmonary carcinoma, 1 case was unknown hemoptysis, All cases were analyzed for clinical efficacy and complications. Results： All cases undertook double embolization of the hemorrhagic arteries, Bronchial arterial embolism was performed in 19 cases. Additional arterial embolism was performed in some cases including intercostal artery（ n = 4）, internal thoracic artery（n = 3）, subscapular artery（n = 1）, pericardiacophrenic artery（n = 1） , All cases with follow - up showed satisfactory clinical curative effect and no severe complications. Conclusion： Artery embolization with high heat - pressure - treated gelatin sponge to control pulmonary hemoptysis is satisfactory and economic, This method is adapted to the practice situation of China and worthful encouraged.

关 键 词：咯血 栓塞 明胶海绵 

分 类 号：R56[医药卫生—呼吸系统]