PVA颗粒联合同轴微导管栓塞治疗支气管扩张所致大咯血的临床效果  

Application value of bronchinal arterial embolization combined with joint PVA and micro coaxial catheter in treatment of acute bronchiectasis accompanied by hemoptysis

作　　者：岳天华[1] 袁鹏[1] 吴式 黄健[2] 赵辉[2] 门忠杰[3] Yue Tianhua;Yuan Peng;Wu Shi;Huang Jian;Zhao Hui;Men Zhongjie(Department of Interventional Radiology, Affiliated Jianhu Hospital of Nantong University, Jianhu 224700, China;Department of Interventional Radiology, Affiliated Hospital of Nantong University,Nantong 226001, China;Department of Interventional Radiology,Weihai city hospital, Weihai 264200, China)

机构地区：[1]南通大学附属建湖医院介入科,江苏建湖224700 [2]南通大学附属医院介入科,江苏南通226001 [3]威海市立医院介入科,山东威海264200

出　　处：《中华介入放射学电子杂志》2017年第1期9-12,共4页Chinese Journal of Interventional Radiology：electronic edition

摘　　要：目的:评价采用聚乙烯醇(PVA)颗粒联合同轴微导管栓塞支气管动脉治疗支气管扩张所致大咯血的疗效。方法:65例支气管扩张伴大咯血患者分别行支气管动脉、肋间动脉、锁骨下动脉及膈动脉等动脉造影,寻找咯血责任血管,引入微导管超选入责任血管、避开共干血管,予PVA颗粒栓塞。结果:65例患者介入栓塞治疗后咯血得以控制,其中治愈47例,显效18例,治疗有效率100%。所有病例均未发生严重并发症。结论:采用PVA颗粒联合同轴微导管栓塞支气管动脉治疗支气管扩张所致大咯血安全有效。Objective:To investigate the clinical value of bronchinal arterial embolization combinedwith joint polyvinyl alcohol(PVA)and micro coaxial catheter in treatment of acute bronchiectasis hemoptysis.Methods:A total of65patients with bronchiectasis accompanied by hemoptysis were recruited and underwentbronchinal and intercostal artery or arteria subclavia or phrenicartery arteriograghy or arterial embolization by jointmicro coaxial catheter with PVA particles,to localize the bleeding foci.Results:Among the65cases,the hemoptysiswas fully stopped in47cases after the operation;small amount of bleeding reoccurred in18cases,but the symptomwas gone with medication.The total effective rate is100%.In all the cases no serious complications were observed.Conclusions:The bronchinal arterial embolization combined with joint PVA and micro coaxial catheter in treatmentof acute bronchiectasis hemoptysis was safe and effective.

关 键 词：支气管扩张 咯血 支气管动脉栓塞 聚乙烯醇 同轴微导管 

分 类 号：R562.22[医药卫生—呼吸系统]