CAJ | 학술논문

目的：回顾性分析支气管动脉及支气管动脉以外体循环动脉栓塞治疗复杂性大咯血的疗效及安全性。方法对149例复杂性大咯血患者进行支气管动脉及支气管动脉以外相关体循环动脉进行造影，了解参与病变的动脉类型和支数，并对相关动脉进行栓塞治疗。结果149例患者均发现除支气管动脉以外，其他体循环动脉参与咯血供血。病变范围越广、病情越重、病程越长，参与咯血的动脉支数越多，病变的范围和部位不同，参与咯血的相关动脉来源有所不同。149例中即刻栓塞成功止血137例（91．9％），其余12例第2次栓塞后止血（8．1％），无严重并发症发生。结论栓塞支气管动脉及支气管动脉以外相关体循环动脉治疗复杂性大咯血疗效好、并发症少、安全性好。
목적：회고성분석지기관동맥급지기관동맥이외체순배동맥전새치료복잡성대각혈적료효급안전성。방법대149례복잡성대각혈환자진행지기관동맥급지기관동맥이외상관체순배동맥진행조영，료해삼여병변적동맥류형화지수，병대상관동맥진행전새치료。결과149례환자균발현제지기관동맥이외，기타체순배동맥삼여각혈공혈。병변범위월엄、병정월중、병정월장，삼여각혈적동맥지수월다，병변적범위화부위불동，삼여각혈적상관동맥래원유소불동。149례중즉각전새성공지혈137례（91．9％），기여12례제2차전새후지혈（8．1％），무엄중병발증발생。결론전새지기관동맥급지기관동맥이외상관체순배동맥치료복잡성대각혈료효호、병발증소、안전성호。
Objective To evaluate retrospectively the effect and safety of transcatheter arterial embolization of bronchial artery and artery of systemic circulation supply to the lung for massive intractable hemoptysis .Meth-ods One hundred and forty-nine patients with massive intractable hemoptysis were given bronchial arterial and artery of systemic circulation angiography ,to find out the types and count of abnormal arteries .All abnormal ar-teries were embolizated .Results All 149 patients were found bronchial artery and other artery of systemic circula-tion supply to lung for massive intractable hemoptysis .The types and count of abnormal arteries were concerned with the wider of primary disease ,severity of patient′s condition and course of disease .One hundred and thirty-seven of 149 (91 .9% ) patients were cured immediately ;the remaining 12 (8 .1% ) patients were cured secondly . No serious complications were reported .Conclusion Transcatheter arterial embolization of bronchial artery and ar-tery of systemic circulation supply to the lung for massive intractable hemoptysis is a safe and effective treatment with low incidence of complications.