支气管动脉栓塞术在支气管扩张咯血中的应用

目的探讨支气管动脉栓塞术对支气管扩张咯血的应用价值。方法：18例支气管扩张咯血患者，数字减影血管造影（digital substraction angiography，DSA）下行双侧支气管动脉造影并应用明胶海绵颗粒和／或聚乙烯醇（polyvinyl alcohol，PVA）颗粒进行栓塞治疗。结果：12例DSA显示出阳性征象，表现为造影剂外溢。经栓塞治疗后13例患者咯血立即停止，随访6个月，1例咯血患者在治疗后5个月出血复发，行第二次栓塞止血。未见严重并发症发生。结论：支气管动脉造影及栓塞术对支气管扩张咯血有较高的应用价值，其微创、并发症少，迅速、有效、安全的控制出血的特点，宜作为支气管扩张咯血治疗的首选方法。

Application of Bronchical Artery Embolization in Massive hemoptysis of bronchiectasis

Objective To evaluate the clinical effectiveness of bronchical artery embolization in massive hemoptysis of brochiectasis Methodes eighteen patients of brochiectasis with acute massive hemoptysis, underwent digital substraction angiography （DSA） and arterial embolization with gelfoam particles particle and/or polyvinyl alcohol （PVA）. Results The positive signs of bleeding were observed in 12 cases during DSA. Bleeding stopped immediately in 13 cases patients after embolization. During the follow-up of 6 months, acute massive hemoptysis recurred in 1 patient 5 months after embolization, and was treated successfully with re-embolization. No serious compications occured in all patients. Conclusion Bronchical artery embolization is valuable for the acute massive hemoptysis of bronchiectasis. Bronchical artery embolization is a quick, safe and effective method to control hemorrhage, and should be taken as the first choice.