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目的 :探讨肺癌大咯血的支气管动脉栓塞治疗疗效及临床价值。材料与方法 :对10例肺癌大咯血患者进行支气管动脉造影 ,并确定靶血管。首先小心注入压缩的明胶海绵颗粒 ,然后再注入压缩的明胶海绵条 ,直至血流中断 ,支气管动脉完全闭塞为止。结果 :10例肺癌大咯血患者共进行了14支血管的栓塞 ,即时止血达100 %。其中9例患者在1周内顺利的进行了肿块切除术。1例无法切除的晚期肺癌作放射治疗 ,并随访2月 ,咯血无复发。结论 :支气管动脉栓塞是治疗肺癌大咯血的较好方法 ,它不仅可以达到迅速止血 ,为外科手术改善患者的一般情况 ,从而减低死亡率和手术并发症的发生率。
Objective: To investigate the curative effect and clinical value of bronchial artery embolization with massive hemoptysis of lung cancer. Materials and Methods: Bronchial arteriography was performed on 10 patients with massive hemoptysis of lung cancer and target vessels were identified. Carefully inject the compressed gelatin sponge particles before injecting the compressed gelatin sponge strips until the blood flow is interrupted and the bronchial artery is completely occluded. Results: A total of 14 vessels were embolized in 10 patients with massive pulmonary hemorrhage. The immediate hemostasis reached 100%. Nine of them successfully underwent lumpectomy in one week. One case of unresectable advanced lung cancer was treated with radiotherapy and followed up for 2 months without recurrence of hemoptysis. Conclusion: Bronchial artery embolization is a good method to treat massive hemoptysis of lung cancer. It can not only achieve rapid hemostasis, but also can improve the general condition of patients in order to reduce the incidence of mortality and surgical complications.