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目的探讨支气管动脉栓塞术治疗支气管扩张所致咯血的临床应用价值。方法 41例支气管扩张所致咯血的患者进行选择性支气管动脉栓塞术,术后随访12个月,观察疗效,行统计分析。结果立即止血40例,止血率97.5%,12个月内复发11例,复发率26.8%,其中术中应用弹簧钢圈≥3枚复发率明显高于应用弹簧钢圈≤2枚的患者,差异有统计学意义,P<0.05。结论变范围局限的支气管扩张咯血患者应用选择性支气管动脉造影近期及远期效果好,复发率低;支气管扩张病变广泛的咯血患者应用选择性支气管动脉栓塞术治疗近期止血效果好,但远期复发率高,故建议对胸部CT提示病变广泛的咯血患者内科治疗效果差者,如有外科手术指征者,考虑手术治疗。
Objective To investigate the clinical value of bronchial artery embolization in the treatment of hemoptysis caused by bronchiectasis. Methods A total of 41 patients with hemoptysis due to bronchiectasis underwent selective bronchial artery embolization. The patients were followed up for 12 months. The curative effect was observed and statistical analysis was performed. Results Immediate hemostasis 40 cases, hemostasis rate 97.5%, 12 cases of recurrence in 11 cases, the recurrence rate was 26.8%, of which the application of spring steel ring ≥ 3 recurrence rate was significantly higher than the application of spring steel ring ≤ 2 pieces of patients, the difference There was statistical significance, P <0.05. Conclusions The patients with bronchiectasis with hemoptysis who have limited range of performance have good short-term and long-term outcomes with selective bronchial artery angiography. The patients with extensive bronchiectasis with hemoptysis and selective bronchial artery embolization have a good short-term hemostatic effect but long-term recurrence Rate is high, it is recommended on chest CT prompted a wide range of patients with hemoptysis poor medical treatment of those who indications for surgical indications, consider surgery.