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目的:探讨支气管动脉栓塞术(BAE)治疗各种病因所致的不同量咯血的疗效。方法:收集我院近年进行BAE治疗的40例不同程度的咯血患者,术后对所有病例进行为期1年的随访观察结果:40例患者BAE术后止血总有效率为92.5%,一年内复发3例:一个月内复发1例,为漏栓异常供血责任血管;后两例均在BAE术后第6个月再次咯血,1例为肿瘤病灶发展,有新的供血动脉形成导致再次咯血;1例为支扩患者肺部炎症未得到很好控制导致前次栓塞动脉明显迂曲,增粗而再次开放。以上复发三例患者均再次行栓塞术,治疗后停止咯血且未再次复发。结论:支气管动脉栓塞术治疗大咯血及反复发作中小量咯血有效。
Objective: To investigate the efficacy of bronchial artery embolization (BAE) in treating various hematological causes of hemoptysis. Methods: Forty patients with hemoptysis who underwent BAE in our hospital in recent years were enrolled. All patients were followed up for one year after operation. The total effective rate of hemostasis after BAE was 92.5% in 40 patients and 3 For example, one case of recurrence within one month was responsible for the abnormal blood supply of the leaked capillaries; the latter two cases were again hemoptysis in the sixth month after BAE, one developed tumor lesions and the formation of new feeding arteries resulted in re-hemoptysis; Cases of bronchiectasis in patients with lung inflammation has not been well-controlled leading to significant arterial tortuous, thickening and reopened. The above recurrence of three patients were embolized again, after treatment to stop hemoptysis and did not relapse again. Conclusion: Bronchial artery embolization is effective in treating massive hemoptysis and recurrent small to moderate hemoptysis.