经支气管动脉栓塞治疗咯血的临床应用  

Analysis of hemoptysis treated by bronchial arterial embolization

作　　者：许玉华[1] 胡永红[1] 应燕红[1] 胡小平[1] 宋军福[1] 罗荣光[2] 

机构地区：[1]江西省胸科医院内科,南昌330006 [2]南昌大学第一附属医院影像科介入室

出　　处：《中华医学杂志》2013年第45期3620-3622,共3页National Medical Journal of China

摘　　要：目的 探讨经支气管动脉栓塞术（BAE）治疗咯血的效果与各相关因素的相关性.方法 2007年12月至2011年8月江西省胸科医院收治内科咯血患者105例,造影明确支气管动脉异常后行BAE.随访3～24个月.结果 本组105例患者均存在支气管动脉异常;成功完成BAE 101例（96.2%）,其中止血91例（86.7%）,显效7例（6.7%）,总有效率为93.3%.随访期内无复发者69例（65.7%）;近期复发8例（7.6%）;远期复发10例（9.5%）.统计结果表明BAE治疗咯血的效果与各相关因素无明显相关性.结论 BAE是治疗咯血的有效方法,BAE的效果与各相关因素无关.Objective To investigate the correlation of effect of bronchial arterial embolization （BAE） in the treatment of hemoptysis and relative factors. Methods From December 2007 to August 2011, 105 patients with hemoptysis were admitted. BAE was carried out after bronchial artery arteriography and ensured bronchial artery anomaly. Patients were followed up 3 to 24 months. Results All 105 cases were confirmed abnormal bronchial artery. And 101 cases （96. 2% ） were completed BAE, and among them, 91 cases （86. 7% ） were stoped bleeding , and 7 cases （6. 7% ） were excellence. The total effective rate was 93.4%. In follow-up period, there were 69 cases （65.7%） without recurrence, and 8 cases （7.6%） were recent recurrence and 10 cases （9.5%） were long-term recurrence, respectively. All factors were no obvious correlation to effect of BAE. Conclusion BAE is an effective treatment for hemoptysis. Effect of the BAE was irrespective to related factors.

关 键 词：咯血 支气管 栓塞 治疗性 

分 类 号：R56[医药卫生—呼吸系统]