支气管动脉栓塞-灌注法治疗反复咯血的临床研究

Clinical Application of Bronchial Artery Embolization Infusion in Severe Hemoptysis

目的 研究明胶海绵颗粒栓塞支气管动脉分支加红霉素溶液灌注支气管动脉主干治疗反复咯血的临床价值。材料与方法 35例内科治疗无效的咯血患者分为A、B两组。A组行靶动脉单纯明胶海绵颗粒栓塞术 ,B组针对支气管动脉及肋间动脉行栓塞 灌注法治疗 ,针对胸廓内动脉行单纯明胶海绵颗粒栓塞术。A、B两组均随访 6个月以上。结果 A组治愈率为 35 .7% ,B组治愈率为 70 % ,两者统计学上有显著差异 ;A组有效率为 71% ,B组有效率为 10 0 % ,两者统计学上有显著差异。结论 栓塞 灌注法对内科治疗无效的咯血患者是一种更为有效、安全。

Objective To study the clinical effect of bronchial artery embolization with Gelfoam particles and infusing with erythromycin on repeated hemoptysis.Materials and Methods Thirty five patients with hemoptysis were divided into group A and group B. Simple bronchial artery embolization with Gelfoam particles was performed in group A, while Gelfoam embolization of bronchial artery branches together with erythromycin infusing via bronchial trunk was performed in group B. All patients were followed up for more than six months.Results The cure rate in group A and B was 35.7% and 70% respectively, and no significant difference existed between two groups. The effective rate in group A and B was 71% and 100% respectively, a remarkable difference was seen between the two groups.Conclusion Bronchial artery embolization infusion therapy is a rather safe, simple and effective method for severe hemoptysis ineffective to medical treatment.