同轴微导管支气管动脉四重栓塞治疗大咯血

目的:探讨支气管动脉同轴微导管四重栓塞术治疗大咯血的临床价值,观察大咯血栓塞治疗的临床效果及与并发症的关系。方法:大咯血患者42例,首先行明胶海绵微粒栓塞,再行丝线栓塞,第三步注入血管硬化剂,最后行大颗粒明胶海绵栓塞,所有病例随访6个月～2年。结果:本组病例短期、中期及远期疗效有效率均为100%。结论:支气管动脉同轴微导管四重栓塞术是治疗大咯血的一种简便、创伤小、长期疗效稳定且高效的疗法。

Quadruple bronchial artery embolization by coaxial catheterization with microc atheter in the treatment of massive haemoptysis

Objective To study the clinical efficacy of quadruple bronchial artery embolization by coaxial catheterization with microcatheter in the treatment of massive haemoptysis. Methods 42 cases with massive haemoptysis were embolized first with smaller gelatin sponge particles, then with silk thread, and then with vascular sclerosing agent, finally with larger gelatin sponge particles. All of the patients had a follow-up ranging from 6 months to 2 years. Results The short-term, medlan-term and long-term effective rates were all 100 percent. Conclusion Quadruple bronchial artery embolization by coaxial catheterization with microcatheter is a simple and effective therapy in the treatment of massive haemoptysis, and it shows a stable and prolonged effect.