栓塞治疗肺结核大咯血的临床疗效分析

目的探讨栓塞治疗肺结核大咯血的临床疗效。方法28例肺结核导致的急性大咯血患者，先作选择性支气管动脉及相关血管的DSA检查，明确出血部位及供血血管后，行超选择性插管，用明胶海绵和（／或）PVA栓塞。结果28例咯血患者，27例栓塞成功，1例栓塞4支供血动脉中的3支。咯血立即停止25例，咯血明显减少2例，1例咯血较前减轻。即时止血率89．3％，有效率100％。25例随访6～36月，近期复发咯血2例（8．0％），均无脊髓损伤等严重并发症发生。结论栓寒治疗是肺结核大咯血的有效止血手段；准确、完整地找到供血血管并运用恰当材料进行栓塞是有效止血并减少术后复发的关键。

Clinical Effect Analysis of Embolotherapy for Massive Hemoptysis due to Pulmonary Tuberculosis

Objective To assess the clinical effect of embolotherapy on treating massive hemoptysis due to pulmonary tuberculosis.Methods 28 cases with massive hemoptysis due to pulmonary tuberculosis were underwent embolotherapy: After digital subtraction angiography(DSA) of selected bronchial artery and other relative arteries to locate the hemorrhage sites and identify the blood-supplying arteries,superselective intubation and embolization with Gelfoam and/or PVA was performed.Results The embolization was successful...