摘要
目的:探讨支气管动脉栓塞术治疗致命性大咯血的价值。方法:34例致命性大咯血患者用明胶海绵颗粒行支气管动脉栓塞。按治疗方式分为2组,支气管动脉逐级间歇性完全栓塞20例(A组),单纯支气管动脉栓塞者14例(B组)。结果:总有效率为82.4%(28/34),总复发率为29.4%(10/34)。A组较B组疗效好、复发率低(P<0.05)。主要的并发症为自限性短暂的胸痛和发烧。结论:支气管动脉栓塞术是致命性大咯血的一种安全、微创、高效的治疗方法。
Objective： To evaluate the value of bronchial artery embolization （BAE） in the management of massive llfe-threatening hemoplysis.Methods：Thirty- four patients with massire life-threatening hemoptysis underwent BAE by transfemoral arterial approach using gelfoam particles. Thirty-four cases were divided into two groups, 20 eases received the interval gradual complete ernbolization of BAE in Group A, the other used the traditional embolization in Group B.Results：The overall effective rate and recurrence rate for I year were 82.4% （28/34）,29.4%（10/34）, respectively. The Group A was superior to the Group B in the overall effective rate and recurrence rate. The difference was statistically significant（ P 〈 0.05）. The remarkable complications derived from the procedure included self-limited transient thoracic pain and fever. Conclusion： BAE is a safe, less invasive and effective method in the management of massive lifethreatening hemoptysis.
出处
《医学影像学杂志》
2006年第1期39-41,共3页
Journal of Medical Imaging
关键词
咯血
支气管动脉
栓塞
治疗性
Hemoptysis
Bronchial artery
Embolization, therapeutic
