支气管动脉栓塞术治疗大咯血的疗效观察  

Long-term outcome of bronchial artery embolization in the treatment of massive hemoptysis

作　　者：吴先杰[1] 邢志珩[1] 田静[2] 范勇[2] 李玉萍[2] 孙建中[2] 李萍[2] 于蕾[1] 

机构地区：[1]天津市海河医院放射科,300350 [2]天津市海河医院呼吸科,300350

出　　处：《中华结核和呼吸杂志》2010年第10期754-757,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：目的 探讨支气管动脉栓塞治疗大咯血的长期疗效、安全性及并发症.方法 回顾分析天津市海河医院2000年2月至2009年2月间因大咯血行支气管动脉栓塞术的232例患者病例资料,其中男122例,女110例,年龄21～85岁,中位年龄52岁.患者均于术后24 h开始进行术后观察及持续随访,回访患者复杳X线胸片或胸部CT,并进行电话或问卷回访,最短2个月,最长9年.结果 232例患者共栓塞血管627支,使用弹簧圈741枚,所有患者均即刻止血（232/232,100%）,一次栓塞治愈213例（213/232,91.8%）,好转19例（19/232,8.2%）,术中无死亡病例,未发生严重并发症及远期不良事件.结论 支气管动脉栓塞术治疗咯血安全有效,即刻止血率高,严重并发症及远期不良事件较少.Objective To study the long-term outcome, safety, and complications of bronchial artery embolization （BAE） in the treatment of patients with massive hemoptysis. Methods A retrospective analysis of 232 cases of massive hemoptysis treated with BAE from February 2000 to February 2009 in our hospital was carried out. All cases were followed by repeated X-ray or CT examination, telephone calls, or questionnaires, with the longest period up to 9 years. Results There were 627 blood vessels which were totally embolized by 741 coils for the 232 cases. The hemoptysis was stopped instantly in 100% of the patients. 91.8% （213/232） of the cases were cured and 19 cases （ 19/232,8. 18% ） were improved. The overall effective rate was 100% （232/232）. No serious or delayed complications occurred. None of the patients died. Conclusion Bronchial artery embolization is effective in cases with massive hemoptysis for its immediate effect and safety.

关 键 词：化学栓塞 治疗性 咯血 治疗效果 

分 类 号：R686[医药卫生—骨科学]