摘要
目的:探讨支气管动脉栓塞治疗肺结核大咯血中的应用价值。方法:33例肺结核大咯血患者经内科保守治疗无效后行支气管动脉栓塞,栓塞材料为明胶海绵颗粒或聚乙烯醇微粒(PVA),栓塞过程在X线影像监视下完成。结果:33例支气管动脉栓塞治疗后,25例1次栓塞后止血;8例2次栓塞后止血,其中5例行支气管动脉和超选择行胸廓内动脉栓塞止血,1例在第二次栓塞后1周因再次大咯血而死亡。结论:支气管动脉栓塞对肺结核大咯血的治疗是一种安全有效而快捷的手段。
Objective：To evaluate bronchial artery emholization in treating pulmonary tuberculosis with serious hemoptysis.Methods： 33 cases of pulmonary tuberculosis with serious hemoptysis having noneffective by conservation medical therapy were treated by bronchial artery emholization and the material was polyvinyl alcohol （PVA） foam or gelatin sponge （GS）. Results： The therapy by bronchial artery emholization resulted in an immediate cessation of hemoptysis in 25 of 33 eases and recurrence in 8 cases. 5 of 8 cases was hemostasis by bronchial artery embolization and superselective internal thoracic artery emholization, and 1 of 8 cases died for serious hemoptysis again. Conclusion： It was an effective way to treat pulmonary tuberculosis with serious hemoptysis by bronchial artery emholization.
出处
《医学影像学杂志》
2006年第6期584-585,共2页
Journal of Medical Imaging
关键词
肺结核
大咯血
支气管动脉栓塞
Pulmonary tuberculosis
Serious hemoptysis
Bronchial artery embolization
