肺咯血支气管动脉栓塞术（BAE）后 复发原因分析

目的探讨BAE术后肺咯血复发原因。方法50例肺咯血患者行BAE止血。栓塞剂采用明胶海绵（GS）条13例，GS颗粒29例，无水乙醇加GS颗粒8例。结果7例BAE术后复发，再次行BAE术。用GS条栓塞复发4例（4/13），用GS颗粒复发2例（2/29），用无水乙醇加GS颗粒复发1例（1/8）。病因方面支气管扩张复发4例（4/30），肺结核复发2例（2/6），隐源性复发1例（1/11）。结论用GS条栓塞复发率最高，用GS颗粒栓塞复发率低且较安全，无水乙醇加GS颗粒效果良好，但受到一定的限制。肺结核咯血复发率最高，支气管扩张咯血复发率较低，而隐源性咯血治愈率最高。

The Analysis of the Recurrent Cause of(BAE)Pulmonary Hemoptysis Post-Bronchial Artery Embolization

Objective To study the recurrent cause of pulmonary hemoptysis post-BAE.Methods BAE was performed in 50 cases with pulmonary hemoptysis.The hemostatic agents included Geifoam(GS)strip in 13 cases,GS pellet in 29 cases,ethanol plus GS pellet in 8 cases.Results Hemoptysis was recurrent post-BAE in 7 patients,of them 4 cases in GS strip group,2 cases in GS pellet group and 1 case in ethanol plus GS pellet group were recurrent.Of this 7 patients 4(4/30) were bronchiectasis;2(2/6) were tuberculosis and 1(1/11) was cryptogenic.Conclusion GS strip group has highest recurrent rate.GS pellet group has low reculrrent rate and is relatively safe,ethanol plus GS pellet group has a good curative effect,but it has limitation in a way,the pulmonary tuberculosis has the highest recurrent rate of hemoptysis,the bronchiectasis has relatively low recurrent rate of hemoptysis,while cryptogenic hemoptysis has the highest cure rate.