超选择性血管栓塞治疗难治性大咯血的疗效分析  

Therapeutic Effect of Superselective Bronchial Artery Embolization on Intractable and Massive Hemoptysis

作　　者：范敏娟[1] 王家平[2] 赵国厚[1] 童玉云[2] 沈雯[1] 

机构地区：[1]昆明医学院第二附属医院干部医疗和老年呼吸病科,云南昆明650101 [2]昆明医学院第二附属医院放射科,云南昆明650101

出　　处：《昆明医学院学报》2011年第4期88-91,共4页Journal of Kunming Medical College

摘　　要：目的回顾性分析超选择性血管栓塞治疗难治性大咯血的疗效、影响疗效的因素、并发症及安全性.方法对行超选择性血管栓塞治疗的75例反复发作难治性大咯血患者进行回顾性分析.结果本组75例患者治愈56例,治愈率74.67%,显效9例,有效4例,总有效率92%,无效6例,无效率8.0%.结论超选择性血管插管栓塞治疗难治性大咯血疗效好、安全、创伤小,并发症发生率低.Objective To evaluate the effect of superselective bronchial artery embolization（BAE）on intractable and massive hemoptysis,and analyze the influencing factors,complications and security.Methods The clinical data of 75 patients with massive hemoptysis who received superselective BAE were retrospectively analyzed.Results Among 75 patients,56 patients were cured,and the cure rate was 74.67%,9 patients were improved significantly,4 patients were improved,and the total effective rate was 92%;6 patients were not improved,and the ineffective rate was 8%.Conclusion Superselective BAE is a safe and effective treatment with little trauma and low incidence of complications for intractable and massive haemoptysis.

关 键 词：难治性大咯血 超选择插管 栓塞 治疗性 

分 类 号：R562.2[医药卫生—呼吸系统]