支气管动脉栓塞术治疗严重咯血的临床评价

Clinical evaluation on bronchial artery embolization in the treatment of severe hemoptysis

摘要:

目的：评价支气管动脉栓塞术治疗难治性咯血患者的临床疗效。方法：对44位患者使用聚乙烯醇（polyvinyl alcohol，PVA）、弹簧圈、Onyx胶中的1种或2种进行支气管动脉栓塞。结果：44例患者共进行支气管动脉栓塞术48次，最终咯血完全停止，有效率90.9%。4位患者于治疗后再次复发，复发率9.1%，药物止血治疗后咯血停止。栓塞后有6位患者出现胸腹痛，均自行缓解，未出现异位栓塞等严重并发症。结论：支气管动脉栓塞术是一种快速、安全、有效治疗难治性咯血的方法。

Abstract:

Objective：To evaluate the clinical effects of bronchial artery embolization（BAE） on refractory hemoptysis. Methods：Forty-four patients with hemoptysis were treated with BAE using one or more of polyvinyl alcohol（PAV），metallic colis and Onyx. Results：Totally 48 times of BAE were successfully performed on all pa－tients，who stopped hemoptysis with the overall effective rate of 90.9%. Hemoptysis recurred in 4 cases with the recurrent rate of 9.1%. After BAE，6 patients developed chest pain and 1 patient developed abdomen pain，but all relieved without any treatment. No case of ectopic embolization，spinal cord injury and other serious complication was observed. Conclusion：Bronchial artery embolization is a fast，safe and effective approach in the treatment of refractory hemoptysis.