聚乙烯醇泡沫栓塞微粒与聚乙烯醇栓塞微球在介入栓塞治疗大咯血患者中的临床效果比较  

Clinical effect comparison of polyvinyl alcohol foam embolization microparticles and polyvinyl alcohol embolization microspheres in interventional embolization therapy for patients with massive hemoptysis

作　　者：田云飞[1] 邹嵩[1] 林瑛[1] 周通纲 张梦龙 TIAN Yun-fei;ZOU Song;LIN Ying;ZHOU Tong-gang;ZHANG Meng-long(Department of Minimally Invasive Intervention,People′s Hospital of Ganzhou City,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院微创介入科,江西赣州341000

出　　处：《中国当代医药》2020年第29期39-41,共3页China Modern Medicine

基　　金：江西省赣州市卫生健康委员会市级科研计划项目(2019-2-14)。

摘　　要：目的比较聚乙烯醇泡沫栓塞微粒与聚乙烯醇栓塞微球在介入栓塞治疗大咯血患者中的临床效果。方法选取2017年8月~2019年2月我院经内科保守治疗无效需行介入栓塞治疗的86例大咯血患者作为研究对象,采用随机数字表法将其分为研究组与对照组,每组各43例。研究组采用聚乙烯醇栓塞微球进行介入栓塞治疗,对照组采用聚乙烯醇泡沫栓塞微粒进行介入栓塞治疗。比较两组患者术后的近期疗效、中远期疗效及并发症发生情况。结果两组患者术后7 d的总有效率、术后1、12个月的咯血控制成功率、并发症总发生率比较,差异均无统计学意义(P>0.05)。结论聚乙烯醇栓塞微球应用于介入栓塞治疗大咯血患者的临床效果与聚乙烯醇泡沫栓塞微粒相近,且安全性较高,值得临床推广应用。Objective To compare the clinical effecy of polyvinyl alcohol foam embolization microparticles and polyvinyl alcohol embolization microspheres in interventional embolization therapy for patients with massive hemoptysis.Methods A total of 86 patients with massive hemoptysis in our hospital who failed in the conservative treatment of internal medicine and needed to be treated by interventional embolization from August 2017 to February 2019 were selected as the research objects and divided into the study group and the control group by random number table method,with 43 cases in each group.The study group used polyvinyl alcohol embolization microspheres for interventional embolization,and the control group used polyvinyl alcohol foam embolization particles for interventional embolization.The short-term,mid-term and long-term effect and complications of the two groups after surgery were compared.Results There were no significant differences in the total effective rate at 7 d after surgery,the success rate of hemoptysis control,and the incidence of complications at 1 and 12 months after surgery(P>0.05).Conclusion Compared with polyvinyl alcohol foam embolization microparticles,polyvinyl alcohol embolization microspheres have the same clinical effect and high safety in interventional embolization for massive hemoptysis,which is worthy of clinical promotion and application.

关 键 词：聚乙烯醇泡沫栓塞微粒 聚乙烯醇栓塞微球 介入栓塞 大咯血 

分 类 号：R441.7[医药卫生—诊断学]