Research on interventional embolization therapy for massive hemoptysis induced by pulmonary aspergillosis
10.3969/j.issn.1002-1671.2023.12.028
- VernacularTitle:肺曲霉菌病诱发大咯血的介入栓塞治疗的研究
- Author:
Yue ZHAI
1
;
Fachao LIAO
;
Gang WANG
;
Zhiming CHEN
Author Information
1. 云南省第一人民医院放射介入科,云南 昆明 650034
- Keywords:
hemoptysis;
pulmonary aspergillosis;
interventional embolization
- From:
Journal of Practical Radiology
2023;39(12):2034-2037
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate vascular characteristics and efficacy of interventional embolization in treatment of pulmonary aspergillosis induced massive hemoptysis.Methods A total of 103 patients with pulmonary aspergillosis were analyzed retrospectively,and there were 34 patients with massive hemoptysis.Gelatin sponges,microspheres and coils were chosen for treatment.The number of embolized blood vessels and the vascular characteristics were recorded,and follow-up efficacy and complications were evaluated.Results The mean follow-up time for all the patients was(11.0±2.2)months.A total of 139 vessels were embolized,and the mean number of embolized vessels was 4.0±1.1.The main blood supply arteries included bronchial artery,intercostal artery,internal thoracic artery,superior thoracic artery,lateral thoracic artery and thyroid neck trunk.The cumulative recurrence rates were 5.8％,14.7％and 20.5％at the 1 month,3 months,and 6 months follow-up after operation,respectively.The postoperative complications were mild and could be relieved after symptomatic support treatment.Conclusion Interventional embolization is effective,high safety,and has mild complications can be tolerated by patients in treating massive hemoptysis induced by pulmonary aspergillosis,which is worthy of further clinical application.
