支气管动脉及其他体循环动脉参与复杂性大咯血的介入治疗

摘要

Objective To evaluate retrospectively the effect and safety of transcatheter arterial embolization of bronchial artery and artery of systemic circulation supply to the lung for massive intractable hemoptysis .Meth-ods One hundred and forty-nine patients with massive intractable hemoptysis were given bronchial arterial and artery of systemic circulation angiography ,to find out the types and count of abnormal arteries .All abnormal ar-teries were embolizated .Results All 149 patients were found bronchial artery and other artery of systemic circula-tion supply to lung for massive intractable hemoptysis .The types and count of abnormal arteries were concerned with the wider of primary disease ,severity of patient′s condition and course of disease .One hundred and thirty-seven of 149 (91 .9% ) patients were cured immediately ;the remaining 12 (8 .1% ) patients were cured secondly . No serious complications were reported .Conclusion Transcatheter arterial embolization of bronchial artery and ar-tery of systemic circulation supply to the lung for massive intractable hemoptysis is a safe and effective treatment with low incidence of complications.%目的：回顾性分析支气管动脉及支气管动脉以外体循环动脉栓塞治疗复杂性大咯血的疗效及安全性。方法对149例复杂性大咯血患者进行支气管动脉及支气管动脉以外相关体循环动脉进行造影，了解参与病变的动脉类型和支数，并对相关动脉进行栓塞治疗。结果149例患者均发现除支气管动脉以外，其他体循环动脉参与咯血供血。病变范围越广、病情越重、病程越长，参与咯血的动脉支数越多，病变的范围和部位不同，参与咯血的相关动脉来源有所不同。149例中即刻栓塞成功止血137例（91．9％），其余12例第2次栓塞后止血（8．1％），无严重并发症发生。结论栓塞支气管动脉及支气管动脉以外相关体循环动脉治疗复杂性大咯血疗效好、并发症少、安全性好。