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目的了解支气管动脉栓塞术治疗肺结核咯血的近远期疗效及咯血复发的原因。方法21例肺结核咯血患者行支气管动脉栓塞术治疗,随访6个月,观察咯血复发情况。结果21例肺结核咯血患者术后1个月治愈率为100.0%,术后6个月咯血复发3例,主要与肺结核未愈、合并支气管扩张症、继发曲菌感染有关。结论支气管动脉栓塞术在治疗肺结核咯血时疗效显著,尤其对不适宜手术的肺结核患者,创伤小,安全有效。
Objective To understand the short-term and long-term effects of bronchial artery embolization in the treatment of pulmonary tuberculosis hemoptysis and the causes of recurrence of hemoptysis. Methods 21 cases of pulmonary tuberculosis patients with hemoptysis underwent bronchial artery embolization. The patients were followed up for 6 months to observe the recurrence of hemoptysis. Results 21 cases of pulmonary tuberculosis hemoptysis patients one month after the cure rate was 100.0%, 6 months after the recurrence of hemoptysis in 3 cases, mainly with pulmonary tuberculosis unhealed, with bronchiectasis, secondary to aspergillosis. Conclusions Bronchial artery embolization is effective in treatment of hemoptysis of pulmonary tuberculosis. It is safe and effective in the treatment of pulmonary tuberculosis patients who are not suitable for operation.