摘要目的 探讨支气管动脉栓塞治疗大咯血的长期疗效、安全性及并发症.方法 回顾分析天津市海河医院2000年2月至2009年2月间因大咯血行支气管动脉栓塞术的232例患者病例资料,其中男122例,女110例,年龄21～85岁,中位年龄52岁.患者均于术后24 h开始进行术后观察及持续随访,回访患者复杳X线胸片或胸部CT,并进行电话或问卷回访,最短2个月,最长9年.结果 232例患者共栓塞血管627支,使用弹簧圈741枚,所有患者均即刻止血(232/232,100%),一次栓塞治愈213例(213/232,91.8%),好转19例(19/232,8.2%),术中无死亡病例,未发生严重并发症及远期不良事件.结论 支气管动脉栓塞术治疗咯血安全有效,即刻止血率高,严重并发症及远期不良事件较少.

abstractsObjective To study the long-term outcome, safety, and complications of bronchial artery embolization (BAE) in the treatment of patients with massive hemoptysis. Methods A retrospective analysis of 232 cases of massive hemoptysis treated with BAE from February 2000 to February 2009 in our hospital was carried out. All cases were followed by repeated X-ray or CT examination, telephone calls, or questionnaires, with the longest period up to 9 years. Results There were 627 blood vessels which were totally embolized by 741 coils for the 232 cases. The hemoptysis was stopped instantly in 100% of the patients. 91.8% (213/232) of the cases were cured and 19 cases ( 19/232,8. 18% ) were improved. The overall effective rate was 100% (232/232). No serious or delayed complications occurred. None of the patients died. Conclusion Bronchial artery embolization is effective in cases with massive hemoptysis for its immediate effect and safety.