支气管动脉栓塞术治疗肺结核大咯血的临床研究及分析

Efficacy of bronchial arterial embolization for treatment of massive hemoptysis in tuberculosis

目的观察和评价支气管动脉栓塞术治疗肺结核大咯血的疗效。方法选择84例肺结核大咯血患者随机分成两组,A组(42例)常规治疗组,B组常规治疗组加支气管动脉栓塞治疗。结果全部咯血病例支气管动脉造影均有不同程度血管增生紊乱,典型者为扫帚状增生紊乱的血管束,严重者伴有肺内出血病灶。两组治疗成功率为A组71.4%,B组95.2%,两者之间差异有统计学意义(P<0.05)。结论支气管动脉栓塞术治疗肺结核大咯血患者创伤小,且安全有效,在抢救大咯血方面具有实际意义,为控制大咯血提供了一种实用新途径。

Objective To observe and evaluate the efficacy of bronchial arterial embolization for massive hemoptysis in tuberculosis. Methods 84 tuberculosis patients with massive hemoptysis were selected and randomly divided into two groups. The 42 patients in group A were given routine therapy,while the other 42 patients in group B were given routine therapy and bronchial arterial embolization. Results For all patients with hemoptysis,bronchial arteriography（ BAG） showed different degree of hyper vascularity,typically being broomlike or reticulate proliferation and deranging vascular bundles. The success rate of BAE in group A was 71. 4%,and that of the group B was 95.2%; the difference between group A and B was statistically significant（ P〈 0. 05）. Conclusion Bronchial arterial embolization is safe and effective for the treatment of massive hemoptysis with minor injuries to tuberculosis patients,which can be used as a new and effective method for controlling massive hemoptysis.