PVA颗粒联合金属弹簧圈栓塞治疗支气管扩张咯血临床价值分析  

Clinical evaluation of PVA combined with coils embolization in the treatment of hemoptysis caused by bronchiectasis

作　　者：王草叶[1] 王祁[1] 何忠明[1] 陈文华[1] 黄渊全[1] 陆一峰[1] 沈炜[2] 

机构地区：[1]苏州大学附属第三医院介入放射科,江苏常州213000 [2]东南大学医学院附属江阴人民医院介入科,江苏江阴214400

出　　处：《医学影像学杂志》2013年第11期1699-1702,共4页Journal of Medical Imaging

摘　　要：目的探讨PVA颗粒联合金属弹簧圈栓塞在支气管扩张咯血中的临床应用价值。方法采用改良Seldinger法对我院收治的支气管扩张咯血并经内科保守治疗无效的24例患者行PVA联合金属弹簧圈在DSA路径引导下进行栓塞,并进行1年的随访观察。结果 24例成功栓塞的患者中,1个月内复发0例,3个月内复发1例,1年内复发2例,止血总有效率91.7%。结论采用PVA联合金属弹簧圈栓塞对支气管扩张咯血患者是一种及时有效的方法,不易复发,值得临床推广应用。Objective To investigate the clinical application value of PVA combined with coils embolization in the control of hemoptysis caused by bronchiectasis. Methods Twenty four patients who complained of hemoptysis caused by bronchi- ectasis and underwent conservative therapies were included in this study. All patients were treated by a modified Seldinger method and underwent PVA combined with coils embolization under the guidance of DSA road map method. The therapeu- tic results were evaluated by one year＇s follow up. Results All patients＇ target vessels were successfully embolized after the procedure. One patient recurred within 3 months. Two patients recurred within 1 year. The total effective rate of bleeding control in this group was 91.7 %. Conclusion PVA combined with coil embolization is a timely and effective pro- cedure in the control of hemoptysis caused by bronchiectasis.

关 键 词：咯血 支气管扩张 介入栓塞 疗效 

分 类 号：R563[医药卫生—呼吸系统] R815[医药卫生—内科学]