论文部分内容阅读
目的对内科治疗不能有效止血的顽固性咯血患者,寻求效果肯定、快捷、安全的治疗方法。方法对56例顽固性咯血患者及时采用seldinger导管法行支气管动脉造影,并对出血病变血管予以明胶海绵(或)和Fe304微粒或小号不锈钢圈作选择性栓塞,术后随访观察近期和远期疗效。结果56例中立即止血49例(87.50%),近期总有效率为100%。远期观察1.5～11年,平均随访39.7个月,单纯明胶海绵栓塞者复发2例,疗效持久巩固率为96.43%。结论支气管动脉造影并选择性病变血管栓塞疗法,对顽固性咯血疗效可靠,且快捷,安全,巩固;对明确病变血管形态异常者宜采用永久性材料或“双重”栓塞。
Objective To cure patients with intractable hemoptysis who can not effectively stop bleeding by medical treatment, and seek effective, quick and safe treatment. Methods Fifty-six patients with intractable hemoptysis were treated with seldinger catheterization for bronchial artery angiography in a timely manner. Selective gelatin sponge (or) and Fe304 microparticles or trumpet stainless steel coil were used for selective embolization of hemorrhagic vessels. Short-term and long-term follow- Efficacy. Results In 56 cases, immediate hemostasis occurred in 49 cases (87.50%), the total effective rate was 100%. Long-term observation of 1.5 to 11 years, with an average follow-up of 39.7 months, simple gelatin sponge embolization recurrence in 2 cases, the effect of long-term consolidation rate was 96.43%. Conclusions Bronchial artery angiography and selective lesion embolization therapy are reliable, fast, safe and effective in the treatment of intractable hemoptysis. Permanent materials or “double” embolization should be used to identify the abnormal vascular morphology.