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Superselective Bronchial Artery Embolization for Hemoptysis with Coaxial Microcatheter System
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- Author:
- No author available
- Journal Title:
- JOURNAL OF CHINESE PHYSICIAN
- Issue:
- 7
- DOI:
- 10.3760/cma.j.issn.1008-1372.2001.07.004
- Key Word:
- 咯血;支气管,肺;栓塞;治疗
Abstract： 目的评价同轴微导管超选择支气管动脉栓塞(SSBAE)治疗咯血的可行性、安全性、疗效,并发症.方法29例咯血病人,男24例,女5例.年龄35～71,平均54岁.支气管扩张9例,肺结核12例,肺癌8例.共32例次SSBAE治疗.结果29例病人,进行超选择支气管动脉插管33次,插管成功率96.9%(32/33),32次栓塞成功病人获立即止血效果:完全控制的21例(65.6%),不完全止血10例次(31.3%),无效1例(3.1%).止血不完全的10例病人中,1例支扩,3例慢性纤维空洞性肺结核,6例原发性肺癌.随访2～32月,7例复发出血,其中3例为慢纤空肺结核,余4例为肺癌病人.所有病人均无严重并发症发生.结论同轴微导管超选择支气管动脉栓塞治疗咯血是一安全,止血迅速、疗效确切的治疗措施,除肿瘤外,远期止血效果好,并发症少,值得临床推广.
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