目的：探讨经导管介入治疗支气管扩张致咯血的疗效及价值。方法：36例大咯血患者经选择性支气管动脉造影后，对病变动脉采用微导管超选择性支气管动脉插管，用明胶海绵、弹簧钢圈、PVA颗粒进行栓塞止血，评价其临床疗效和安全性。结果：技术成功率为100%，出血控制率为88.9%（32/36），无严重相关并发症发生。结论：介入栓塞治疗是支气管扩张并大咯血患者安全、有效的治疗方法。%Objective To evaluate the eficacy of interventional therapy for treatment of bronchiectasis with acute massive hemopty-sis. Method 36 patients with massive hemoptysis were treated with bronchial artery embolization using coils,polyvinyl alcohol( PVA)mi-crospheres,and gelatin sponge after the site of bleeding or the abnormal arteries were identified by arteriography. Super selective bronchial artery embolization was performed with a coaxial microcatheter inserted into the bronchial artery. Results The technical success rate was 100 %,while the control rate of hemorrhage was 88. 9 %( 32/ 36 ). NO serious complication. Conclusion It is a efective way to treat bronchiectasis with acute massive hemoptysis using interventional embolization therapy.
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