不同支气管动脉栓塞材料治疗大咯血的对照研究  

Comparative study of bronchial artery embolization with different embolic agents in treatment of massive hemoptysis

作　　者：岳天华[1] 袁鹏[1] 吴式 沈酥雯 陈法警 李玲 黄健[2] 邢伟[3] YUE Tianhua;YUAN Peng;WU Shi;SHEN Suwen;CHEN Fajing;LI Ling;HUANG Jian;XING Wei(Department of Interventional Radiology,the Affiliated Jianhu Hospital of Nantong University,Jianhu,Jiangsu Province 224700,China;Department of Interventional Radiology,the Affiliated Hospital of Nantong University,Nantong,Jiangsu Province 226000,China;Department of Imaging,the Third Clinical Medical College of Soochow University,Changzhou,Jiangsu Province 213000,China)

机构地区：[1]南通大学附属建湖医院介入科,江苏建湖224700 [2]南通大学附属医院介入科,江苏南通226000 [3]苏州大学第三临床医学院影像科,江苏常州213000

出　　处：《实用放射学杂志》2021年第1期124-127,共4页Journal of Practical Radiology

摘　　要：目的探讨采用不同支气管动脉栓塞(BAE)材料治疗大咯血的疗效及相关并发症.方法46例大咯血患者根据栓塞材料不同分为对照组、观察组,对照组12例采用明胶海绵栓塞,观察组34例采用聚乙烯醇(PVA)颗粒(必要时辅以弹簧圈)栓塞,评估术后疗效及脊髓损伤、胸痛等并发症发生情况.结果对照组有效率91.67%,观察组有效率88.24%,2组之间差异无统计学意义.对照组术后3例出现脊髓损伤症状,观察组未出现脊髓损伤症状,2组之间差异有统计学意义.随访6个月,对照组4例复发,观察组2例复发且为肺癌患者,2组之间差异有统计学意义.结论BAE治疗大咯血效果明显,采用PVA颗粒(必要时辅以弹簧圈)栓塞,其严重并发症及远期复发率低.Objective To explore the efficacy and related complications of bronchial artery embolization(BAE)with different em bolic agents in treatment of massive hemoptysis.Methods Forty-six patients with massive hemoptysis were divided into the control group and the observation group according to different embolic agents.12 patients were treated with gelatin sponge in the control group,and 34 patients were treated with polyvinyl alcohol(PVA)particle(supplemented by spring coil when necessary)in the observation group.Then,the perative efficacy,spinal cord injury,chest pain and other complications were evaluated.Results The effective rates were 91.67%in the control group and 88.24%in the observation group,respectively.There was no significant difference between the two groups.Three patients in the control group showed symptoms of spinal cord injury after surgery,while no patients in the observa-tion group showed symptoms of spinal cord injury.The difference was statistically significant between the two groups.Followed-up for half a year,4 patients in the control group relapsed,2 lung cancer patients in the observation group relapsed,and the difference was statistically significant between the two groups.Conclusion BAE is effective in the treatment of massive hemoptysis.The serious.complication and long term recurrence rate are low with PVA particles(supplemented by spring coil when necessary).

关 键 词：支气管动脉栓塞 咯血 介入治疗 

分 类 号：R562.1[医药卫生—呼吸系统] R441.7[医药卫生—内科学]