[1]刘凤永,段峰,王茂强,等.支气管动脉栓塞术治疗支气管扩张大咯血失败原因之一：膈下动脉参与供血[J].介入放射学杂志,2008,(02):88.
　LIU Fengyong,DUAN Feng,WANG Maoqiang,et al.Failure of controlling massive hemoptysis in bronchiectasis through BAE due to oberration blood supply from inferior phrenic arteries[J].journal interventional radiology,2008,(02):88.
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支气管动脉栓塞术治疗支气管扩张大咯血失败原因之一：膈下动脉参与供血()

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

卷:
期数:
2008年02期
页码:
88
栏目:
血管介入
出版日期:
2008-02-15

文章信息/Info

Title:
Failure of controlling massive hemoptysis in bronchiectasis through BAE due to oberration blood supply from inferior phrenic arteries
作者:
刘凤永; 段峰; 王茂强; 等
１００８５３北京解放军总医院介入科
Author(s):
LIU Feng－yong; DUAN Feng; WANG Mao－qiang; SONG Peng; WANG Zhi－jun; WANG Zhong－pu．
General Hospital of Chinese People's Liberation Army ，Beijing１００８５３，China
关键词:
咯血; 支气管; 动脉; 膈下动脉; 血管造影术; 栓塞; 治疗性
分类号:
R５６２.２２
文献标志码:
A
摘要:
目的观察膈下动脉（IPA）参与支气管扩张所致咯血供血的表现，评价经导管栓塞IPA的安全性和疗效。方法５年期间用经导管支气管动脉栓塞术（BAE）治疗支气管扩张所致大咯血６２例，１０例经选择性血管造影证实有IPA参与病变供血。对参与肺部病变供血的IPA进行选择性栓塞术，栓塞剂用明胶海绵颗粒８例、明胶海绵颗粒＋微型钢丝圈２例。分析观察IPA参与肺部供血的表现、影响因素，评价栓塞IPA的安全性和临床意义。结果选择性IPA造影均显示IPA管径增粗、分支增多、紊乱和不同程度的新生血管，IPA供血区对比剂外溢４例、非特异性片状对比剂染色６例，IPA与肺动脉异常交通或分流者８例。１０例患者病灶与胸膜关系密切：病变贴近膈胸膜和纵隔胸膜者６例、纵隔胸膜为主者４例。对１０例患者均行供血IPA栓塞术，同时栓塞胸廓内动脉４例、肋间动脉２例，术后咯血停止。随访８个月～３年，２例分别于术后２、３个月复发少量咯血，经保守治疗后停止。８例未再咯血。结论IPA可参与支气管扩张症所致大咯血的供血，是造成BAE治疗咯血失败的原因之一。如发现IPA参与肺部病变供血，补充IPA栓塞术是安全和有价值的。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２００７－１０－１８
更新日期/Last Update: 2008-02-15