肺结核咯血患者非支气管动脉出血的介入治疗

摘要

Objective: Clinic data of the 34 cases pulmonary tuberculosis emptysis with the bronchial and non-bronchial artery embolism were analysed ,to discuss the clinic meaning of the non-bronchial arterial embolism in hemostasis for the pulmonary tuberculosis emptysis. Methods:By puncturing skin and going angiography of the bronchial artery and the non-bronchial artery , and embolism for the fault blood vessel were performed. Results:The hemorrhagic blood vessles were detected and treated with embolization respectively in 8 cases for intercostal artery ,10 cases for intercostal artery plus internal thoracic artery ,6 cases for internal and lateral thoracic artery ,7 cases for internal thoracic artery plus thyrocervical trunk ,and 3 cases for intercostal artery plus pulmonary artery ,while for all with bronchial artery hemorrhage after the total 34 cases of angiography .Conclusion:In the embolization of bronchial artery for the pulmonary tuberculosis emptysis ,the routine non-bronchial artery angiography was needed and have the important clinic meaning for the increase of the curative effect and reduce the recrudesce in patient with the pulmonary tuberculosis emptysis.%目的:分析34例肺结核咯血患者支气管动脉及非支气管动脉栓塞的临床资料,探讨非支气管动脉栓塞在肺结核咯血患者临床止血中的意义.方法:经皮穿刺行支气管动脉造影,同时对相关的非支气管动脉进行造影,发现病变一并进行栓塞.结果:34例血管造影显示支气管动脉合并肋间动脉出血8例,支气管动脉合并肋间动脉和胸廓内动脉出血10例,支气管动脉合并胸廓内动脉和胸外侧动脉出血6例,支气管动脉合并胸廓内动脉和甲状颈干分支出血7例,支气管动脉合并肋间动脉和肺动脉出血3例.对所有破损的血管逐一进行栓塞.结论:在肺结核咯血的患者行支气管动脉栓塞过程中,应常规对相关的非支气管动脉造影,对提高栓塞在肺结核中量及大量咯血治疗中的效果、减少复发有重要的临床意义.