目的 探讨经导管弹簧圈栓塞叶内型肺隔离症的安全性和有效性.方法 2000年1月至2012年2月收治13例叶内型肺隔离症患者,造影发现起自胸主动脉下段的异常供血动脉14条,采用经导管弹簧圈栓塞治疗.术后观察疗效及并发症.结果 13例患者的栓塞成功率为100％,无明显并发症发生,术后临床症状好转,均未复发.结论 经导管弹簧圈栓塞治疗叶内型肺隔离症安全、有效.%Objective To evaluate the clinical safety and efficacy of transcatheter coil embolization of aberrant arteries in treating intralobar pulmonary sequestration. Methods During the period from Jan. 2000 to Feb. 2012, a total of 13 patients with intralobar pulmonary sequestration were treated in authors' hospital. Angiography revealed 14 abnormal lesion - feeding arteries, which originated from the descending thoracic aorta. Transcatheter embolization of aberrant arteries with steel coils was carried out in all patients. After the treatment, the patients were kept under close observation for clinical manifestations and complications. The results were analyzed and the relevant medical literature was reviewed. Results Transcatheter embolization of aberrant arteries with steel coils was successfully performed in all 13 patients. Postoperative angiography showed that all aberrant arterial branches were successfully occluded by coils. After the treatment the clinical symptoms were markedly improved, and no recurrence or obvious complications occurred. Conclusion For the treatment of intralobar pulmonary sequestration, transcatheter embolization of aberrant arteries with steel coils is safe and effective.
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