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題 名 | Angiographic Appearance and Embolotherapeutic Management of Hemoptysis in Patients with Chronic Destructive Lung Diseases=慢性肺疾病患者血管檢查表徵及血管栓塞之評估 |
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作 者 | 張潤忠; 呂嘉偉; 黃浩輝; 萬永亮; 吳樹鏗; 陳耀亮; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 24:1 1999.02[民88.02] |
頁 次 | 頁21-26 |
分類號 | 415.46 |
關鍵詞 | 肺; 出血; 胸腔; 介入性步驟; 血管攝影; 技術; Lung; Hemorrhage; Thorax; Interventional procedure; Angiography; Technology; |
語 文 | 英文(English) |
中文摘要 | 利用血管栓塞術控制因慢性破壞性肺疾病引起咳血,探討其在血管檢查的表徵及評估其血管栓塞治療的效果。本文回顧15名因咳血而接受血管栓塞治療之病人.包括7名支氣管擴張症、3名肺結核、5名同時存在支氣管擴張症及肺結核。評估其在血管檢查表徵包括血管擴張、血管密度增高、微血管塗鴉、動靜脈交通、及出血表徵。12名病人接受高選擇性血管栓塞治療,3名病人無法達成高選擇性血管栓塞治療。本文係所選用之栓塞物皆是永久性的,包括polyvinyl alcohol particles(8病例),stainless steel coils(3病例), polyvinyl alcoholparticles及stainless steel coils(4病例)。14病例達成馬上止血的目的。血管表徵包括15例血管擴張,13例血管密度增高,10例微血管塗鴉,8例動靜脈交通,3例出血表徵。在治療成果方面,3例(20)在兩星期內發生再咳血復發,需要再接受血管栓塞治療,並獲得控制。一病人因肺衰弱於術後死亡。長期追蹤發現11例持續有間斷性輕微咳血。總結本文係治療效果,獲得完全治療者計有3例(20),短暫控制者有3例(20),不完全治療者有11例(72.6),失敗者有1例(6.6)。認識血管檢查表徵是血管栓塞治療咳血的根基。慢性破壞性肺疾病之病患常伴有肺功能衰弱,往往無法接受外科手術治療,在這情形下,血管栓塞控制咳血更顯重要。雖然微量咳血常持續,但對控制急性咳血的效果是肯定的,可減少因出血造成呼吸道阻塞死亡之發生,並可改善病患生活品質。 |
英文摘要 | To discuss the angiographicfindings and efficacy ofembolotherapy in controllinghemoptysis in the patients withchronic destructive lung diseases. Fifteen patients with acutehemoptysis treated with emergenttranscatheter arterial embolizationwere included in this report.Underlying causes of hemoptysiswere bronchiectasis in 7 cases,tuberculosis in 3 and both in 5.Angiograpbic findings werecategorized as arterialhypertrophy, hypervascularity, finevascular blushes, systemic-pulmonary shunts andextravasation. Superselectivearterial embolization with a coaxialsystem with Tracker-18microcatheters was successful in 12of the 15 patients. In three patientsin whom, superselectivecatheterization was not successfulwere embolized via a guidingcatheter. Permanent embolizers ofpolyvinyl alcohol particles (8cases), stainless steel coils (3 cases)and both (4 cases) were used inorder to minimize recurrence due to arterial recanalization. Infourteen patients immediate controlof hemoptysis occurred.Angiography showed hypertrophiedarteries in 15 patients,hypervascularity in 13, finevascular blushing in 10, systemicpulmonary shunts in 8 andextravasation in 3. Three patients(20) had recurrent hemoptysiswithin two weeks which wassubsequently alleviated by repeatembolization. One patient baduncontrollable hemoptysis and diedsecondary to severe respiratoryfailure. Minor hemoptysis (11cases) occurred frequently duringlong-term follow up. In summary,responses to embolotherapy were asfollow: complete response (CR) in 3cases (20), partial immediateresponse (PIR) in 3 cases (20),partial response (PR) in II cases(72.6) and no response (NR) in 1case (6.6). Recognition ofangiographic findings is the basisfor therapeutic embolization. Inpatients with severe chronic lungdisease who are not candidates forsurgery, embolotherapy is effectiveand valuable in controlling acutehemoptysis. Although there was ahigh recurrence of minorhemoptysis, this procedure cangreatly improve a patient's survivaland life quality. |
本系統中英文摘要資訊取自各篇刊載內容。