[1]隋 虎,樊艳青,谭刚华,等.支气管动脉栓塞术联合肺叶切除术在支气管扩张顽固性咯血患者中的应用[J].介入放射学杂志,2025,34(07):752-755.[doi:10.3969/j.issn.1008-794X.2025.07.012]
 SUI Hu,FAN Yanqing,TAN Ganghua,et al.Application of bronchial artery embolization combined with lobectomy in treating patients with refractory hemoptysis due to bronchiectasis[J].J Intervent Med,2025,34(07):752-755.[doi:10.3969/j.issn.1008-794X.2025.07.012]
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支气管动脉栓塞术联合肺叶切除术在支气管扩张顽固性咯血患者中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年07
页码:
752-755
栏目:
临床研究
出版日期:
2025-07-25

文章信息/Info

Title:
Application of bronchial artery embolization combined with lobectomy in treating patients with refractory hemoptysis due to bronchiectasis
文章编号:
1008-794X(2025)-007-0752-04
作者:
隋 虎 樊艳青 谭刚华 程文涛
430023 湖北武汉 华中科技大学同济医学院附属武汉金银潭医院放射科(隋 虎、樊艳青、谭刚华),呼吸介入科(程文涛)
Author(s):
SUI HuFAN YanqingTAN GanghuaCHENG Wentao.
Department of Radiology,Affiliated Wuhan Jinyintan Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei Province 430023,China
关键词:
支气管动脉血管造影 支气管动脉栓塞术 肺叶切除术 支气管扩张顽固性咯血
分类号:
R655.3
DOI:
10.3969/j.issn.1008-794X.2025.07.012
文献标志码:
B
摘要:
目的 评估支气管动脉栓塞术(bronchial artery embolization,BAE)联合手术治疗支气管扩张顽固性咯血的效果。方法 收集2018年1月至2022年1月武汉金银潭医院诊治的168例支气管扩张顽固性咯血患者的临床资料。91例患者行肺叶切除术(对照组),71例患者行BAE联合肺叶切除术(观察组)。比较2组患者的疗效、术中出血量、手术操作时间、术后3 d引流量、住院时间、咯血复发率,并比较并发症情况。结果 观察组患者临床疗效更高,且术中出血量、手术操作时间、住院时间、术后3 d引流量和复发率低于对照组(P<0.05)。两组并发症发生率差异无统计学意义(P>0.05)。结论 BAE联合肺叶切除术可提高治疗效果,不会增加并发症风险。

参考文献/References:

[1] Luo L,Luo J,Jiang Y.A retrospective analysis of risk factors for massive hemoptysis in patients with bronchiectasis[J].BMC Pulm Med,2022,22:214.
[2]Toh TW,Goh J,Lie SA,et al.Clinical approach to Massive hemoptysis:Perioperative focus on causes and management[J].J Cardiothorac Vasc Anesth,2024,38:2412-2425.
[3]范 伟,闫卓卓,李奋强,等.支气管动脉栓塞治疗大咯血的性别回顾分析[J].介入放射学杂志,2024,33:636-641.
Fan W,Yan ZZ,Li FQ,et al.A gender-based retrospective analysis of bronchial artery embolization for the treatment of massive hemoptysis[J].J Interv Radiol,2024,33:636-641.
[4]Li H,Ding X,Zhai S,et al.A retrospective study on the management of massive hemoptysis by bronchial artery embolization:risk factors associated with recurrence of hemoptysis[J].BMC Pulm Med,2023,23:87.
[5]陈庭宇,龚齐云,邓旭东,等.CTA在急性复杂性大咯血患者行介入栓塞术前的应用价值分析[J].影像科学与光化学,2020,38:109-115.
Chen TY,Gong QY,Deng XD,et al.Application value of CTA in patients with acute complicated massive hemoptysis before interventional embolization[J].Imaging Sci Photochem,2020,38:109-115.
[6]陆再英,钟南山.内科学[M].7 版.北京:人民卫生出版社,2008:47.
Lu ZY,Zhong NS.Internal Medicine[M].7th ed.Beijing:People's Medical Publishing House,2008:47.
[7]Clements W,Venn G,McGiffin D,et al.Chronic thromboembolic pulmonary hypertension(CTEPH)and massive hemoptysis:the rationale for bronchial artery embolization[J].Respir Med,2022,195:106784.
[8]张晓东,陈本宝,胡舟朝.支气管动脉复合栓塞术治疗急性大咯血的临床效果及对炎症因子水平的影响[J].浙江创伤外科,2024,29:535-537.
Zhang XD,Chen BB,Hu ZC.Clinical effect of bronchial artery composite embolizationin the treatment of acute massive hemoptysis and its influence on the levels of inflammatory factors[J].Zhejiang J Traumatic Surg,2024,29:535-537.
[9]Tamura M,Kawakami T,Yamada Y,et al.Successful depiction of systemic collateral supply to pulmonary artery in CTEPH using time-resolved 4D CT angiography:a case report[J].Pulm Circ,2020,10:2045894019881065.
[10]Vanstapel A,Vandenbulcke R,Dubbeldam A,et al.Hemoptysis after lung transplantation caused by bronchial arterial neovascularization:Angiographic analysis and successful embolization[J].J Vasc Interv Radiol,2021,32:56-60.
[11]魏 兴,刘 斌,牛 犇,等.不同聚乙烯醇颗粒栓塞剂联合同轴微导管栓塞治疗大咯血的近远期疗效分析[J].实用放射学杂志,2024,40:111-114.
Wei X,Liu B,Niu B,et al.Analysis of short-term and long-term curative effects of different polyvinyl alcohol particle embolic agents combined with coaxial microcatheter embolization in the treatment of massive hemoptysis[J].J Pract Radiol,2024,40:111-114.
[12]Seyyedi SR,Sadeghipour P,Sadr M,et al.Outcomes and complications of bronchial angioembolization in patients with massive hemoptysis[J].Tanaffos,2019,18:310-314.
[13]Deng Y,Cai S,Huang C,et al.Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT[J].Front Oncol,2022,12:1028467.
[14]Lin C,Chen Y,Cai D,et al.The efficacy and safety of combined therapy with endobronchial tamponade and bronchial artery embolization for massive hemoptysis[J].BMC Pulm Med,2024,24:314.
[15]Lu GD,YanHT,Zhang JX,et al.Bronchial artery embolization for the management of frequent hemoptysis caused by bronchiectasis[J].BMC Pulm Med,2022,22:394.
[16]Tate AR,Rao G.Inflammation:Is it a healer,confounder,or a promoter of cardiometabolic risks?[J].Biomolecules,2024,14:948.
[17]Sun SL,Yang ZJ,Sun HL,et al.Air embolism after CT-guided localization of pulmonary ground-glass nodules[J].Br J Radiol,2023,96:20220583.
[18]Gomez-Olivas JD,Oscullo G,Martínez-García MA.Etiology of bronchiectasis in the world:Data from the published national and international registries[J].J Clin Med,2023,12:5782.
[19]Lucas R,Hadizamani Y,Gonzales J,et al.Impact of bacterial toxins in the lungs[J].Toxins(Basel),2020,12:223.
[20]李 强,路 平,严 涛,等.支气管动脉栓塞术治疗肺结核大咯血患者对肺功能、动脉血气的影响及术后复发相关因素分析[J].河北医科大学学报,2022,43:290-294.
Li Q,Lu P,Yan T,et al.Effects of bronchial artery embolization on pulmonary function and arterial blood gas in patients with massive hemoptysis due to pulmonary tuberculosis and analysis of related factors of postoperative recurrence[J].J Hebei Med Univ,2022,43:290-294.
[21]Maleux G,Matton T,Laenen A,et al.Safety and efficacy of repeat embolization for recurrent hemoptysis:a 16-year retrospective study including 223 patients[J].J Vasc Interv Radiol,2018,29:502-509.
(收稿日期:2024-11-11)
(本文编辑:新 宇)

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备注/Memo

备注/Memo:
基金项目: 湖北省教育厅科学研究计划青年项目(Q20221114)
通信作者: 隋 虎 E-mail:hb19sh87@163.com
更新日期/Last Update: 2025-07-25