影像诊断与介入放射学
影像診斷與介入放射學
영상진단여개입방사학
JOURNAL OF DIAGNOSTIC IMAGING AND INTERVENTIONAL RADIOLOGY
2013年
5期
379-381
,共3页
田锦林%郭跃辉%杜亚辉%王伟%李云松%李春雷%陈硕飞
田錦林%郭躍輝%杜亞輝%王偉%李雲鬆%李春雷%陳碩飛
전금림%곽약휘%두아휘%왕위%리운송%리춘뢰%진석비
隐源性咯血%介入性%治疗学%支气管动脉栓塞术
隱源性咯血%介入性%治療學%支氣管動脈栓塞術
은원성각혈%개입성%치료학%지기관동맥전새술
Cryptogenic hemoptysis%Interventional%Therapeutics%Bronchial artery embolization
目的:探讨顽固性隐源性咯血(CH)的血管造影表现及介入栓塞治疗价值。方法对2002年1月~2012年6月17例内科保守治疗无效的顽固性隐源性咯血患者行支气管动脉栓塞(BAE)治疗,对双侧责任支气管动脉进行栓塞,栓塞材料用PVA颗粒及明胶海绵碎屑;术后随访0.5~10年。结果所有患者术前胸部增强CT及纤维支气管镜检查均未能发现与咯血有关的实质性病灶,11例肺窗见磨玻璃影;血管造影共发现40支异常支气管动脉;未发现支气管外体循环责任血管;栓塞术后13例立即止血,4例仍有少量咯血,经内科保守治疗后停止。无严重并发症发生,随访0.5~10年无咯血复发。结论支气管动脉是CH的主要责任血管,BAE是顽固性CH有效的治疗方法。
目的:探討頑固性隱源性咯血(CH)的血管造影錶現及介入栓塞治療價值。方法對2002年1月~2012年6月17例內科保守治療無效的頑固性隱源性咯血患者行支氣管動脈栓塞(BAE)治療,對雙側責任支氣管動脈進行栓塞,栓塞材料用PVA顆粒及明膠海綿碎屑;術後隨訪0.5~10年。結果所有患者術前胸部增彊CT及纖維支氣管鏡檢查均未能髮現與咯血有關的實質性病竈,11例肺窗見磨玻璃影;血管造影共髮現40支異常支氣管動脈;未髮現支氣管外體循環責任血管;栓塞術後13例立即止血,4例仍有少量咯血,經內科保守治療後停止。無嚴重併髮癥髮生,隨訪0.5~10年無咯血複髮。結論支氣管動脈是CH的主要責任血管,BAE是頑固性CH有效的治療方法。
목적:탐토완고성은원성각혈(CH)적혈관조영표현급개입전새치료개치。방법대2002년1월~2012년6월17례내과보수치료무효적완고성은원성각혈환자행지기관동맥전새(BAE)치료,대쌍측책임지기관동맥진행전새,전새재료용PVA과립급명효해면쇄설;술후수방0.5~10년。결과소유환자술전흉부증강CT급섬유지기관경검사균미능발현여각혈유관적실질성병조,11례폐창견마파리영;혈관조영공발현40지이상지기관동맥;미발현지기관외체순배책임혈관;전새술후13례립즉지혈,4례잉유소량각혈,경내과보수치료후정지。무엄중병발증발생,수방0.5~10년무각혈복발。결론지기관동맥시CH적주요책임혈관,BAE시완고성CH유효적치료방법。
Objective To analyze the angiographic findings of refractory cryptogenic hemoptysis(CH)and to assess the value of embolization therapy.Methods From January 2002 through June 2012,17 patients underwent bronchial artery embolization (BAE)for treatment of refractory CH.Bilateral bronchial arteries were embolized with PVA particles(500-700μm)and gelatin sponge chippings.All patients were followed up for 0.5-10 years.Results Ground-glass opacities were noted on the preoperative contrast-enhanced CT in 11 patients.Angiography showed a total of 40 abnormal bronchial arteries causing CH.After BAE,the hemoptysis ceased immediately in 13 patients and hemoptysis was diminished in 4 patients.No severe complication occurred and no recurrent hemoptysis was observed during the 0.5-10 year follow-up.Conclusions Bronchial arteries are the main vessels responsible for CH and BAE is an effective treatment for refractory CH.