CAJ | 학술논문

目的：探讨血管内栓塞治疗支气管动脉畸形的临床价值。方法本组18例患者，13例为支气管动脉-肺动脉瘘，3例为支气管动脉-肺静脉瘘，2例为支气管动脉瘤，临床表现均为反复咯血，均行支气管动脉造影，明确病变性质、部位、范围、程度及血供情况，然后超选择插管至病变处，进行栓塞治疗，栓塞方法及栓塞剂的种类、剂量根据病变性质、造影表现及插管具体位置进行选择。结果18例患者均通过动脉造影明确诊断，均为支气管动脉畸形所致的咯血。介入栓塞治疗后所有患者咯血停止，随防6～20个月，均未再次咯血。结论血管内栓塞治疗支气管动脉畸形，安全有效、创伤小、并发症少，是行之有效的治疗方法。
목적：탐토혈관내전새치료지기관동맥기형적림상개치。방법본조18례환자，13례위지기관동맥-폐동맥루，3례위지기관동맥-폐정맥루，2례위지기관동맥류，림상표현균위반복각혈，균행지기관동맥조영，명학병변성질、부위、범위、정도급혈공정황，연후초선택삽관지병변처，진행전새치료，전새방법급전새제적충류、제량근거병변성질、조영표현급삽관구체위치진행선택。결과18례환자균통과동맥조영명학진단，균위지기관동맥기형소치적각혈。개입전새치료후소유환자각혈정지，수방6～20개월，균미재차각혈。결론혈관내전새치료지기관동맥기형，안전유효、창상소、병발증소，시행지유효적치료방법。
Objective To evaluate the clinical value of superselective transcatheter arterial embolization for the treatment of bronchial artery malformation .Methods 18 patients with bronchial artery malformation ,including 13 cases of bronchi-al-pulmonary artery fistula ,10 of bronchial-pulmonary vein fistula ,and 2 of bronchial artery aneurysm had hemoptysis re-peatedly .All patients were diagnosed by selective angiography for localization ,characteristic ,extent ,degree and blood supply ,and followed by embolization with various embolic materials through seldinger method .Results All patients were correctly diagnosed through selective angiography .There were no patients having symptoms after interventional therapy . During 6~20 month follow-up ,the satisfactory embolization effect was observed .Conclusion Superselective transcathe-ter embolization for bronchial artery malformation is both safe and effective .