支气管动脉永久栓塞治疗咯血的临床评价

目的：评价不同的栓塞材料和操作程序对支气管动脉栓塞治疗肺部疾病所致咯血的疗效。方法：89例咯血患者，分组接受选择性支气管动脉永久栓塞和单纯明胶海绵栓塞治疗。49例患者采用选择性支气管动脉永久栓塞，栓塞材料为钢圈或铜圈(coil)和磁性微球(Fe3O4)，40例患者采用选择性单纯明胶海绵栓塞治疗。结果：两组病例止血效果比较，经统计学分析差异有显著性意义(P＜0．05)。选择性永久栓塞组治疗咯血优于单纯明胶海绵组。结论：永久栓塞支气管动脉是治疗咯血和顽固性咯血的有效方法，义复发率低。

Clinical application of superselective bronchial artery perpetual embolization

Objective:To investigate the long term effect of bronchial arterial embolization with different material and procedure on patients with hemoptysis in lung disease.Methods:89 cases were divided into groups.One group received the embolizaton of bronchial artery,the other group used gelfoam embolization.49 cases of patients taken superselective bronchial artery perpetual embolization,materials of embolization were coils and Fe 3O 4.40 cases of patients used gelfoam embolization.Results:By comparison there were significant difference on cure rate between these two groups ( P <0.05).Effect of superselective bronchial artery perpetual embolizaton for hemoptysis was better than the gelfoam embolizaton group.Conclusion:Superslelctive bronchial artery perpetual embolization has better effect to treat hemoptysis in lung desease and the recurrent rate is low.