不同栓塞剂治疗支扩大咯血的比较研究  

Comparison of the effectiveness of different embolic agents for treating bronchiectasis with massive hemoptysis

作　　者：何冰峰[1] 曹振远[1] 陈颖[1] 邬艳慧[1] 

机构地区：[1]哈尔滨医科大学附属第一临床医学院放射科,150001

出　　处：《介入放射学杂志》2005年第6期580-581,共2页Journal of Interventional Radiology

摘　　要：目的探讨并比较不同栓塞剂治疗支扩大咯血中、远期疗效。方法32例支扩大咯血行支气管动脉栓塞术,分别使用PVA和明胶海绵(GS)颗粒两种栓塞材料。评价栓塞后的近期、中远期疗效,按照栓塞材料进行分组对照、统计分析。结果32例行支气管动脉栓塞术,应用PVA和GS栓塞剂各16例。随访29例,有8例复发,其中GS颗粒栓塞组7例,PVA颗粒栓塞组1例。结论作为治疗支扩大咯血的栓塞剂,PVA颗粒优于GS颗粒;500μm左右的PVA颗粒值得推荐。Objective To evaluate and conpare the immediate and long-term results of bronchial artery embolization （BAE） with different embolic agents for treating bronchiectasis accompaneid by massive hemoptysis. Methods BAE was undertaken in 32 patients with hemoptysis. Particles of PVA or gelatin sponge were used separately as embolic agents. Immediate and long-term results were evaluated separately by the different embolic agents. Results BAE was taken in 32 patients with hemoptysis dividing into two groups with 16 for each group alternatively received GS or PVA. One patient had recurrence at the 3rd day of BAE. 29 patients were followed up and 8 of them had recurrent hemoptysis including 7 embolized with GS, and 1 PVA.Conclusions As embolic agents to treat bronchiectasis with massive hemoptysis, the effect of PVA is better than that of GS. 500 μm PVA is the best of choice.

关 键 词：栓塞术 大咯血 聚乙烯醇颗粒 明胶海绵颗粒 介入放射 

分 类 号：R562.22[医药卫生—呼吸系统]