摘要
目的评价支气管动脉栓塞术治疗咯血的临床疗效。方法对45例咯血患者用明胶海绵颗粒、聚乙烯醇(PVA)微球栓塞剂行支气管动脉栓塞术。结果45例患者均成功行支气管动脉栓塞术,41例咯血完全控制,4例复发,复发率8．9％,5例患者术后出现胸痛和低热不适,无需特别处理,可自行缓解,未出现穿刺部位血肿和截瘫等并发症。结论支气管动脉栓塞术是治疗咯血的一种快速、安全、有效的方法。
Objective To evaluate the clinical effects of bronchial artery embolization （BAE） in hemoptysis. Methods Forty-five patients with hemoptysis were treated with bronchial artery embolization using gelfoam and polyvinyl aleohol（PVA） micmpheres, Results BAE was successfully performed in 45 eases with hemoptysis under controlled completely in 41 patients. Hemoptysis recured in 4 eases with recurrent rate of 8.9%. Five patients developed postembolization syndrome characterized by mild fever and chest pain and ended with spontaneous recovery without special management. No patient had complications of inguinal hematoma at the puncture site of the femoral artery and paraplegia of the lower limbs. Conclusions Bronchial arterial embolization is a clinically rapid, safe and effective method in the treatment of hemoptysis.
出处
《介入放射学杂志》
CSCD
2007年第1期21-23,共3页
Journal of Interventional Radiology
关键词
支气管动脉
栓塞
治疗性
咯血
临床疗效
Bronchial artery
Embolizaton, therapeutic
Hemoptysis
Clinical effect
