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目的 :了解超选择性支气管动脉造影、栓塞对诊断与治疗肺咯血病变的价值。方法 :10例经内科治疗无效或疗效欠佳肺咯血患者接受超选择性支气管动脉及相关供血动脉栓塞治疗 ,栓塞材料包括明胶海绵和医用弹簧钢丝圈。结果 :全部病例均无栓塞相关并发症 ,随访 2～ 16个月无症状再发。结论 :支气管动脉及相关动脉的超选择性造影 +栓塞是诊断与治疗肺咯血病变有效、安全的方法。
Objective: To understand the value of super selective bronchial artery angiography and embolization in the diagnosis and treatment of pulmonary hemoptysis. Methods: Ten patients with hemoptysis who were ineffective in internal medicine treatment or those with poor efficacy were treated with superselective bronchial artery and related arterial embolization. The embolic material included gelatin sponge and medical spring traveler. Results: No embolism related complications were found in all cases. The patients were followed up for asymptomatic recurrence from 2 to 16 months. Conclusion: Superselective angiography and embolization of bronchial artery and related arteries is an effective and safe method for diagnosis and treatment of pulmonary hemoptysis.