| 合并支气管动脉-肺循环瘘大咯血的介入治疗 |
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| 引用本文： | 徐国斌,熊斌,刘骏方,龙清云,胡金香,鲁植艳.合并支气管动脉-肺循环瘘大咯血的介入治疗[J].临床放射学杂志,2008,27(10). |
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| 作者姓名： | 徐国斌 熊斌 刘骏方 龙清云 胡金香 鲁植艳 |
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| 作者单位： | 1. 武汉大学中南医院放射介入科,430071
2. 武汉大学中南医院肿瘤科,430071 |
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| 摘 要： | 目的 探讨大咯血患者合并支气管动脉-肺循环瘘介入栓塞治疗策略及临床疗效. 资料与方法 66例大咯血患者经DSA检查显示20例合并支气管动脉-肺循环瘘,采用长效栓塞剂PVA和丝线对靶血管进行栓塞治疗,部分辅以明胶海绵颗粒(条). 结果 16例1周内咯血消失,4例首次治疗无效者均为病变广泛分流量大或主干血管细小扭曲,1例病变血管栓塞不全,3例1～3天复发再次造影显示瘘口完全或部分再通,栓塞后2例仍咯血改行手术治疗.术后5个月及11个月复发各1例,首次治疗有效率80%,1年内复发率26.3%. 结论 介入栓塞治疗合并支气管动脉-肺循环瘘的大咯血安全、有效,但主干血管细小扭曲及病变广泛分流量大者瘘口易早期再通复发咯血.
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| 关 键 词： | 咯血 支气管动脉 栓塞 |
Embolization of Massive Hemoptysis Associated with Bronchial Artery to Pulmonary Circulation Fistula |
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| XU Guobin,XIONG Bin,LIU Junfang,et al..Embolization of Massive Hemoptysis Associated with Bronchial Artery to Pulmonary Circulation Fistula[J].Journal of Clinical Radiology,2008,27(10). |
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| Authors: | XU Guobin XIONG Bin LIU Junfang |
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| Affiliation: | XU Guobin,XIONG Bin,LIU Junfang,et al.Department of Interventional Radiology,Zhongnan Hospital of Wuhan University,Wuhan,Hubei Province 430071,P.R.China |
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| Abstract: | Objective To explore embolization methods and effects of massive hemoptysis associated with bronchial artery to pulmonary circulation fistula(BPF).Materials and Methods Of sixty-six patients with massive hemoptysis undergone DSA,BPF was found in 20 cases.Embolization of target vessel with Polyvinyl Alcohol(PVA) or silk particles was performed in all BPF patients with embolization with gelatinum sponge particles in some patients.Results Hemoptysis vanished in 16 cases during 7 days after embolization.Emboliz... |
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| Keywords: | Hemoptysis Bronchial artery Embolization |
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