支气管动脉栓塞术治疗肺结核咯血的临床疗效分析

The Clinical Effect Analysis of Bronchial Artery Embolization in Patients with Lung Tuberculosis and Hemoptysis

为探讨支气管动脉栓塞术治疗肺结核咯血的临床疗效和安全性。将172例肺结核咯血病人分为两组,其中49例应用支气管动脉栓塞术治疗(A组),123例应用垂体后叶素或酚妥拉明加止血剂等内科治疗(B组),观察两组咯血缓解情况。结果A组的治愈率、总有效率、复发率分别为67.35%、95.92%和10.20%,均优于对照组的17.89%、68.29%、36.59%。支气管动脉栓塞术是治疗肺结核咯血的有效方法,成功率高,创伤小,并发症少,临床效果满意。准确、完整地找到供血血管并运用恰当材料进行栓塞是有效止血并减少术后复发的关键。

In order to explore the clinical effect and security of bronchial artery embolization in patients with lung tuberculosis and hemoptysis. 172 cases patients with lung tuberculosis and hemoptysis were assigned to receive either bronchial artery embollization （A group） （n = 49） or medical treatment （ B group） （n = 123）. Observation of the clinical effects of two groups of hemoptysis compared. The results of the cure rate was 67.35% ,the total effective rate was 95.92% ,and the relapse rate was 10.20% for A group. The cure rate was 17.89%, the total effective rate was 68.29% ,and the relapse rate was 36.59% for B group. More adverse reactions were found in A group than in B group. Bronchial artery embolization therapy is an effective method for controlling massive hemoptysis due to pulmonary tuberculosis. There are the clinical characteristics of high success rate, less trauma, and fewer complications due to bronchial artery embolization. The critical measures of checking the blood-supply arteries exactly and completely and embolizing reliably with appropriate embolie material can control hemorrhage and decrease recurrence effectively.