[成功的胸腔镜下支气管动脉蔓状血管瘤结扎及切断术]

[Successful thoracoscopic ligation and transection of racemose hemangioma of bronchial artery].

作者信息

Kanamori S, Nakamura H, Nakamoto A, Shinzato T, Tateyama M, Kakazu T, Saito A, Kuda T

机构信息

First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus.

出版信息

Nihon Kokyuki Gakkai Zasshi. 2000 May;38(5):403-7.

PMID:10921289

Abstract

We used thoracoscopy for the successful ligation and transection of a racemose hemangioma of bronchial artery. The patient was a 61-year-old woman who had been admitted to our hospital because of hemoptysis. Bronchoscopic examination revealed bulging lesions covered with normal bronchial mucosa in the right B5 and B8, and bronchial arteriography revealed a shunt between the right bronchial arteries and pulmonary arteries and veins. Ligation and transection of the right bronchial artery under thoracoscopy was performed. Hemoptysis has not recurred 9 months after the operation. Thoracoscopic ligation and transection of bronchial artery may be an effective and less invasive procedure for the treatment of racemose hemangioma.

摘要

我们通过胸腔镜成功地结扎并切断了支气管动脉蔓状血管瘤。患者为一名61岁女性，因咯血入院。支气管镜检查发现右B5和B8有隆起病变，表面覆盖正常支气管黏膜，支气管动脉造影显示右支气管动脉与肺动脉及肺静脉之间存在分流。在胸腔镜下对右支气管动脉进行了结扎和切断。术后9个月咯血未再复发。胸腔镜下支气管动脉结扎和切断术可能是治疗蔓状血管瘤的一种有效且侵入性较小的手术方法。