血管介入栓塞治疗肺结核并发出血39例

Vascular Interventional Embolization in Treatment of 39 Patients with Pulmonary Tuberculosis Complicated by Hemorrhage

目的观察血管介入栓塞治疗肺结核并发出血的临床效果。方法选择2012年6月—2013年6月南京市胸科医院结核一科收治的肺结核并发出血78例,按治疗方法分为观察组和对照组,每组39例。两组均给予常规治疗,在此基础上对照组给予垂体后叶素联合血凝酶治疗,观察组采用血管介入栓塞治疗。比较两组临床疗效及并发症发生情况。结果观察组总有效率高于对照组,并发症发生率低于对照组(P<0.05)。结论血管介入栓塞治疗肺结核并发出血效果好,并发症发生率低。

Objective To observe the clinical effect of vascular interventional embolization in treatment of pulmonary tuberculosis complicated by hemorrhage. Methods A total of 78 patients with pulmonary tuberculosis complicated by hemorrhage during June 2012 and June 2013 were divided into observation group（ n = 39） and control group（ n =39） according to therapeutic methods. All patients were given conventional treatment,and the control group was given Pituitrin combined with hemocoagulase,while the observation group was treated with vascular interventional embolization.The clinical effect and incidence rate of complications were observed in the two groups. Results In the observation group,the total effective rate was significantly higher than that in the control group,while the incidence rate of complications was significantly lower than that in the control group（ P〈0. 05）. Conclusion The vascular interventional embolization in treatment of pulmonary tuberculosis complicated by hemorrhage may produce satisfactory effect with low incidence rate of complications.