明胶海绵在肺结核咯血动脉栓塞中的应用

Application of gelfoam in embolization for treatment of hemoptysis in pulmonary tuberculosis patients

背景:目前国内用于支气管动脉栓塞的栓塞剂材料主要有明胶海绵、PVA颗粒、藻酸钠微球、弹簧圈等。目的:分析总结明胶海绵应用于动脉栓塞治疗肺咯血治疗效果。方法:以"肺咯血、栓塞、肺结核、明胶海绵"为中文关键词,以:"Hemoptysis、Embolization、Tuberculosis、Gelfoam"为英文关键词,采用计算机检索中国期刊全文数据库、维普数据库(1995-01/2011-05)相关文章。纳入明胶海绵栓塞法治疗肺结核咯血等相关的文章,排除重复研究或Meta分析类文章。结果与结论:共入选17篇文章进入结果分析。综述了明胶海绵在肺结核咯血动脉栓塞中的应用。包括明胶海绵栓塞剂的介绍,动脉栓塞术止血技术以及用明胶海绵动脉栓塞治疗肺咯血治疗效果及不足等方面的研究内容。高压高温处理后的明胶海绵作为栓塞剂治疗肺咯血,不仅临床疗效满意而且非常经济,适合目前中国的国情。

BACKGROUND： Current materials used for bronchial artery embolization are gelatin sponge, PVA particles, alginate beads, coils, etc. OBJECTIVE： To summarize the effect of gelfoam on bronchial artery embolization for treatment of hemoptysis. METHODS： A computer based search of CNKI and VIP databases was performed to retrieve relevant articles published 1995-01/2011-05. The keywords were ＂hemoptysis, embolization, tuberculosis, gelfoam＂ in Chinese and English. Repetitive articles or Meta analysis were excluded. RESULTS AND CONCLUSION： Totally 17 articles were included in result analysis, which reviewed the application of gelfoam in bronchial artery embolization for treatment of hemoptysis, including the introduction of gelfoam embolization agents, arterial embolization techniques, and curative effect and deficiency of gelfoam in the treatment of hemoptysis through bronchial artery embolization. Gelfoam with high-pressure and high-temperature treatment is satisfactory and very economical for treatment of hemoptysis, which is preferred in China.