赣南医科大学学报2026，Vol.46Issue(8)：727-730,4.DOI:10.3969/j.issn.2097-7174.2026.08.006
经肺血管双通路介入栓塞治疗大咯血疗效观察
Observation on the curative effect of pulmonary vascular double-channel interventional embolization in the treatment of massive hemoptysis
摘要
Abstract
Objective:To explore the treatment,clinical efficacy and complications of transpulmonary vascular dual-channel interventional embolization for massive hemoptysis.Methods:Thirty-three patients hospitalized for massive hemoptysis at our hospital between April 2023 and April 2024 were enrolled in this study.Preoperative computed tomography angiography(CTA)confirmed that hemoptysis originated from the bronchial artery,non-bronchial systemic artery,and pulmonary artery.All patients underwent dual pulmonary vascular pathway interventional embolization:systemic arterial embolization was performed with 350-700 µm polyvinyl alcohol(PVA)particles combined with gelatin sponge,and pulmonary artery embolization was performed with spring coils.All patients were followed up for 1 to 12 months.The observation and analysis indicators include the interventional treatment,technical success rate,clinical success rate,recurrence rate of hemoptysis,and occurrence of postoperative complications.Results:For patients with massive hemoptysis treated with dual pulmonary vascular pathway interventional embolization,the technical success rate was 96.9%,the clinical success rate was 90.9%,the recurrent hemoptysis rate was 12.5%,and no severe complications occurred.Conclusion:Dual pulmonary vascular pathway interventional embolization is safe and effective for the treatment of massive hemoptysis,with mild complications and a low rate of recurrent hemoptysis.关键词
经肺血管双通路介入栓塞/大咯血/栓塞剂Key words
Pulmonary vascular double access interventional embolization/Massive hemoptysis/Embolic agent分类
医药卫生引用本文复制引用
夏子怡,李洪晓..经肺血管双通路介入栓塞治疗大咯血疗效观察[J].赣南医科大学学报,2026,46(8):727-730,4.基金项目
江西省卫生健康委员会科技计划项目(202311663) （202311663）
