肺癌大咯血的支气管动脉栓塞治疗  

Treatment of severe hemoptysis by bronchial artery embolization on lung cancer

作　　者：文华长[1] 许国辉[1] 李佳容[1] 文永君[1] 陈学浩[1] 程祝忠[1] 

机构地区：[1]四川省肿瘤医院影像科,四川成都610041

出　　处：《中国临床医学影像杂志》2000年第2期101-102,共2页Journal of China Clinic Medical Imaging

摘　　要：目的 :探讨肺癌大咯血的支气管动脉栓塞治疗疗效及临床价值。材料与方法 :对10例肺癌大咯血患者进行支气管动脉造影 ,并确定靶血管。首先小心注入压缩的明胶海绵颗粒 ,然后再注入压缩的明胶海绵条 ,直至血流中断 ,支气管动脉完全闭塞为止。结果 :10例肺癌大咯血患者共进行了14支血管的栓塞 ,即时止血达100 %。其中9例患者在1周内顺利的进行了肿块切除术。1例无法切除的晚期肺癌作放射治疗 ,并随访2月 ,咯血无复发。结论 :支气管动脉栓塞是治疗肺癌大咯血的较好方法 ,它不仅可以达到迅速止血 ,为外科手术改善患者的一般情况 ,从而减低死亡率和手术并发症的发生率。Objective:To study healing effect and clinical value of bronchial artery embolization on lung cancer.Materials and Methods:In 10 patients with lung cancer severe hemoptysis were undertaken bronchial arteriography and confirmed the target blood vessel.First of all,gelfoam grains were compressed and were careful injected into bronchial intraartery. Then gelfoam slip were compressed and careful injected into brondial intraartery until blood flow was brolken off and brouchial artery was completely closed up. Results:Fourteen blood vessels were performed embolization in ten patients with lung cancer severe hemoptysis. Bleeding stop was immediately 100%. In nine patients nuhindered performed tumorectomy in one week. In one patient with late stage lung cancer was undertaken radiotherapy, and bleeding did not recur throughout follow-up periods of 2 months. Conclusion: Embolization treatment of brouchial artery is an accurate method in severe hemoptysis of lung cancer. It was not only immediately to bleeding stop, but also improving general condition of patient for surgery operation, and then death rate and arising rate of operation complications were reduced.

关 键 词：肺肿瘤 咯血 栓塞 治疗性 

分 类 号：R734.205[医药卫生—肿瘤]