摘要
目的探讨肋间动脉栓塞在动脉栓塞治疗咯血中的价值。方法16例肋间动脉参与供血的患者,予真丝线段栓塞支气管动脉和肋间动脉。结果16例经19次治疗,行支气管动脉、肋间动脉联合栓塞15例,单独栓塞肋间动脉1例。即刻止血13例,即刻止血率81.3%,总有效率87.5%,无效2例,复发2例,无严重并发症发生。结论支气管动脉栓塞治疗咯血时,同时栓塞供血的肋间动脉能提高疗效,降低复发率。
Objective To assess the value of the additional intercostal arterial embolization in the management of hemoptysis. Methods Sixteen patients with confirmation of intercostal artery possibly contributing to the hemoptysis by angiography were embolized including intercostal arteries and bronchial arteries with silk threads. Results Sixteen patients with hemoptysis were treated by 19 times of embolization involving both intercostal arteries and bronchial arteries in 15 cases and only intercostal artery in 1 case. Hemoptysis was disappeared right after the procedure in 13 cases （81.3 % ）. Recurrance of hemoptysis occurred in 2 patients . The procedure was ineffective in 2 patients. The total effective rate reached 87.5% with no significant complications related to embolization. Conclusion Intercostal artery embolization could be useful for increasing the effective rate and decreasing the recurrence rate in the management of hemoptysis.
出处
《介入放射学杂志》
CSCD
2005年第6期585-587,共3页
Journal of Interventional Radiology
关键词
肋间动脉
支气管动脉
咯血
栓塞
Intercostal artery
Bronchial artery
Hemoptysis
Embolization
