支气管动脉栓塞术后支气管黏膜改变的临床研究  

The changes of bronchial mucosa after bronchial artery embolization:a clinical study

作　　者：骆伟杰 戴立果 王洵 郭祺锟 储梦兰 罗玮 赖清[1] 李铜强 熊斌 LUO Weijie;DAI Liguo;WANG Xun;GUO Qikun;CHU Menglan;LUO Wei;LAI Qing;LI Tongqiang;XIONG Bin(Department of Intervention,First Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong Province 510000,China)

机构地区：[1]广州医科大学附属第一医院介入科,广东广州510000

出　　处：《介入放射学杂志》2025年第2期145-147,共3页Journal of Interventional Radiology

摘　　要：目的评估支气管动脉栓塞术(bronchial arterial embolization,BAE)后患者纤维支气管镜下支气管黏膜的变化情况。方法2019年5月至2024年3月广州医科大学附属第一医院接受BAE的患者176例。观察患者BAE前、后纤维支气管镜下支气管黏膜的变化情况。结果176例患者中,143例患者纤维支气管镜检查无异常表现,33例患者检查结果有异常,表现均为黏膜充血、水肿,部分合并血管隆起,但均无支气管黏膜缺血坏死。22例患者术前及术后1周纤维支气管镜检查结果示,13例患者术前术后检查均无明显异常;9例术前检查异常,术后3例患者无明显异常,1例术后支气管黏膜充血、水肿程度较术前明显改善。结论BAE后不会引起支气管黏膜缺血坏死及脱落,可减轻部分支气管黏膜充血。Objective To evaluate the changes of bronchial mucosa observed by fiberoptic bronchoscopy after bronchial arterial embolization(BAE)treatment.Methods A total of 176 patients,who received BAE at the First Affiliated Hospital of Guangzhou Medical University of China from May 2019 to March 2024,were enrolled in this study.The pre-BAE and post-BAE bronchial mucosa was checked by fiberoptic bronchoscopy.Results Of the 176 patients,fiberoptic bronchoscopy showed no abnormal findings in 143 and showed abnormal findings in 33.All the abnormal findings were mucosal congestion and oedema,in some cases coexisting vascular bulge was seen,but no manifestations of ischemia or necrosis of the bronchial mucosa could be found.In 22 patients,the preoperative and postoperative 7-day fiberoptic bronchoscopy revealed that both preoperative and postoperative examinations showed no obvious abnormalities of the bronchial mucosa in 13 patients,preoperative examination had abnormalities of the bronchial mucosa in 9 patients,postoperative examination showed no obvious abnormalities of the bronchial mucosa in 3 patients,and in one patient the postoperative degree of bronchial mucosal congestion and oedema was significantly improved when compared with its preoperative degree.Conclusion BAE does not cause ischemic necrosis or shedding of bronchial mucosa,and BAE can reduce the degree of bronchial mucosal congestion in some patients.

关 键 词：支气管动脉栓塞术 纤维支气管镜检查 支气管黏膜 

分 类 号：R562[医药卫生—呼吸系统]