支气管动脉栓塞治疗肺结核大咯血59例分析  

Analysis of 59 cases of pulmonary tuberculosis hemoptysis treated by bronchial artery embolization.

作　　者：余文聘[1] 夏伟[2] 肖玲[1] 郑小河[1] 郑忠生[1] 陈潮钦[1] 吴洁文[1] 

机构地区：[1]汕头大学医学院附属第一医院呼吸科,广东省汕头市515041 [2]汕头大学医学院附属第一医院放射科(,广东省汕头市515041

出　　处：《中国综合临床》2006年第1期52-53,共2页Clinical Medicine of China

摘　　要：目的探讨肺结核大咯血行超选择性支气管动脉栓塞(SBAE)治疗的价值。方法对59例肺结核大咯血患者行SBAE,随访半年。结果59例患者即时止血48例,即时止血率81.4%。一次性栓塞治愈43例,治愈率72.9%;复发16例,复发率27.1%。采用明胶海绵单纯栓塞和联合栓塞与采用明胶海绵和带毛钢圈双重栓塞,半年复发率差异有显著性(P<0.01),其中双重栓塞半年复发率最低(P<0.05)。结论SBAE短期疗效显著,安全性高,是肺结核大咯血的重要治疗手段。采用双重栓塞可有效降低复发率。Objective To evaluate superselective bronchial artery embolizatlon （SBAE） in treating pulmonary tuberculosis hemoptysis. Methods 59 cases of pulmonary tuberculosis hemoptysis were treated by SBAE and followed up for 6 months. Results SBAE resulted in an immediate cessation of hemoptysis in 48 of 59 cases （ 81.4% ） , one time cure without recurrence in 43 cases （ 72. 9% ） and recurrence in 16 cases （ 27.1% ）. The half-year recurrent rate of SBAE used by absorbable gelatin sponge was significantly different from that of SBAE used by absorbable gelatin sponge and platinum coils with fibers （ P 〈 0.01 ）, The half year recurrent rate of double embolization was the lowest （ P 〈 0. 05 ）. Conclusion SBAE is safe and effective in treating pulmonary tuberculosis hemoptysis for a short time,which may reduce recurrent rate by use of double embolization.

关 键 词：肺结核 支气管动脉栓塞 咯血 

分 类 号：R521[医药卫生—内科学]