支气管动脉栓塞治疗顽固性不明原因咯血的临床疗效观察

Clinical Observation of Bronchial Artery Embolization in Treating Refractory Hemoptysis of Unknown Causes

目的观察支气管动脉栓塞方法治疗顽固性不明原因咯血的临床疗效。方法选取柳州市人民医院放射科2016年6月至2018年1月收治的72例顽固性不明原因咯血患者作为研究对象;临床均选择支气管动脉栓塞(BAE)方法展开疾病治疗;其中40例实施微球+明胶海绵颗粒栓塞、24例采用明胶海绵颗粒栓塞,另有8例采用微球+弹簧圈栓塞。评价各组不同栓塞的治疗效果。结果所有患者完成栓塞治疗后,61例(84.72%)患者获得立即止血,11例患者咯血量呈现出显著减少,对患者实施为期1~3 d的药物治疗,最终咯血停止,总止血有效率达到100.00%。对患者实施为期1年的随访,1例(1.39%)患者咯血复发。结论临床针对顽固性不明原因咯血患者实施BAE治疗,表现出疗效显著特点,可显著缩短患者病情康复进程。

Objective To investigate the clinical efficacy of bronchial artery embolization in patients with intractable hemoptysis of unknown cause.Methods From June 2016 to January 2018,72 patients with intractable unexplained hemoptysis in radiology department of Liuzhou People's Hospital were selected as experimental subjects.BAE(Bronchial Artery Embolization)was used to treat the disease.Among them,40 cases were embolized with microsphere+gelatin sponge particles,24 cases were embolized with gelatin sponge particles,and 8 cases were embolized with microsphere+spring coil.The therapeutic effect of different embolism in each group were evaluated.Results Sixty-one patients(84.72%)received immediate hemostasis after embolization treatment.For the remaining 11 patients,cough volume showed a significant decrease.After 1-3 days of drug treatment,hemoptysis finally stopped,and the total hemostasis effective rate reached 100.00%.One patient(1.39%)showed recurrent hemoptysis after 1-year follow-up.Conclusion BAE therapy is clinically applied to patients with intractable hemoptysis of unknown causes,showing remarkable curative effect,which can significantly shorten the rehabilitation process of patients.