[1]丁 健,王永利,王征宇,等. “三明治”式支气管动脉栓塞术治疗咯血的临床疗效分析[J].介入放射学杂志,2014,(03):245-249.
　DING Jian,WANG Yong? li,WANG Zheng? yu,et al. Bronchial artery embolization in ‘sandwich’ pattern for the management of hemoptysis： analysis of clinical effectiveness[J].journal interventional radiology,2014,(03):245-249.
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 “三明治”式支气管动脉栓塞术治疗咯血的临床疗效分析 ()

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

卷:
期数:
2014年03期
页码:
245-249
栏目:
临床研究
出版日期:
2014-03-25

文章信息/Info

Title:
 Bronchial artery embolization in ‘sandwich’ pattern for the management of hemoptysis： analysis of clinical effectiveness
作者:
 丁 健;  王永利;  王征宇;  刘利珍;  陈锦琼;  彭志清
Author(s):
 DING Jian;  WANG Yong?蛳 li;  WANG Zheng?蛳 yu;  LIU Li?蛳 zhen;  CHEN Jin?蛳 qiong;  PENG Zhi?蛳 qing.
  Department of Interventional Radiology， South Branch of Affiliated Sixth People’s Hospital， Shanghai Jiaotong University， Shanghai 201400， China
关键词:
 ; 【关键词】 咯血;  支气管动脉;  栓塞
文献标志码:
A
摘要:
 【摘要】 目的 探讨“三明治”式支气管动脉栓塞术（BAE）治疗咯血的临床疗效。方法 收集2010年3月—2012年3月进行BAE治疗的30例不同程度的咯血患者，术后对所有病例进行为期1 ~ 3年的追踪随访。用SPSS17.0统计软件对咯血复发率、远期控制率进行估算，并分析BAE治疗方法、咳血复发原因及治疗措施等。结果 “三明治”式BAE后止血的即刻有效率100%（30/30），有效率30.0%（9/30），治愈率63.3%（19/30），复发率为6.7%（2/30），对咯血的1年控制率和估计2年控制率均为76%和68%，本组病例中2例需要再次进行支气管动脉栓塞治疗，造影显示1例为漏栓责任血管（时间距上次手术时间为8 d），另1例为原左侧已栓塞支气管动脉再次开放，血管增粗、扭曲（距上次栓塞时间为7个月），2次栓塞后病变血管均未再显影，患者停止咯血且未复发。结论 “三明治”式支气管动脉栓塞术治疗大咯血安全、有效，咯血复发的主要原因为漏栓及侧支循环的形成。

参考文献/References:

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（收稿日期：２０１3-０6-24）
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