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目的探讨支气管动脉栓塞术对非肿瘤性大咯血的治疗效果。方法46例患者术前均经影像检查明确诊断,术中先行胸主动脉造影,再选择支气管动脉或肋间动脉造影确认出血动脉,经导管送入真丝线段及明胶海绵(GS)栓塞。结果45例支气管动脉栓塞成功,1例栓塞失败。术中肺咯血即刻停止39例,6例肺咯血量明显减少,有5例术后复发。即刻止血率84.8%,有效率97.8%,复发率10.9%。结论支气管动脉栓塞术是治疗非肿瘤性大咯血的有效手段。
Objective To investigate the therapeutic effect of bronchial artery embolization on non-tumorous hemoptysis. Methods 46 cases of patients were diagnosed by imaging examination before surgery. Thoracic aorta angiography was performed in the surgery, bronchial artery or intercostal artery angiography was performed to confirm the bleeding artery, and silk thread and gelatin sponge (GS) embolization were inserted into the artery. Results 45 cases of bronchial artery embolization was successful, 1 case of embolization failed. Intraoperative pulmonary hemoptysis immediately stopped in 39 cases, 6 cases of pulmonary hemoptysis was significantly reduced, 5 cases of recurrence. Instant bleeding rate of 84.8%, the effective rate of 97.8%, the recurrence rate of 10.9%. Conclusion Bronchial artery embolization is an effective method to treat non-tumorous hemoptysis.