咯血介入术及支气管动脉CTA对咯血患者的疗效观察  

Observation of the effect of hemoptysis intervention surgery and bronchial artery CTA on patients with hemoptysis

作　　者：陈雷[1] 刘海清[1] 李龙朋[1] 张智勇 滕小宝[1] 苏大建 韩明锋[1] Chen Lei;Liu Haiqing;Li Longpeng;Zhang Zhiyong;Teng Xiaobao;Su Dajian;Han Mingfeng(Department of Interventional Radiology,NO.2 People's Hospital of Fuyang City,Fu Yang 236015,Anhui,China)

机构地区：[1]阜阳市第二人民医院介入放射科,安徽阜阳236015

出　　处：《血管与腔内血管外科杂志》2021年第6期747-751,共5页Journal of Vascular and Endovascular Surgery

基　　金：国家重大科技专项(2018ZX10302302-003)。

摘　　要：目的探讨咯血介入术及支气管动脉计算机体层血管成像(CTA)对咯血患者的疗效。方法收集2016年10月至2020年10月于阜阳市第二人民医院住院治疗的咯血患者临床资料,根据治疗方法的不同将其分为观察组(使用CTA)和对照组(未使用CTA),每组50例。比较两组患者的术后疗效、手术时间、术中曝光时间、对比剂使用量、导管使用数量及术后生活质量。结果观察组患者的术后疗效优于对照组患者,差异有统计学意义(P=0.041)。术后,观察组患者的总有效率为100%(50/50),高于对照组患者的92%(46/50),差异有统计学意义(P<0.05)。观察组患者的手术时间、术中曝光时间均短于对照组患者,对比剂使用量和导管使用数量均少于对照组患者,术后生活质量高于对照组患者,差异均有统计学意义(P<0.05)。结论对咯血患者行介入术前使用支气管动脉CTA检查,能够缩短介入手术的时间和术中曝光时间,减少对比剂使用量,在提高治疗效果的同时能够提高患者的术后生活质量,值得在临床中推广使用。Objective To investigate the effect of hemoptysis interventional surgery and bronchial artery computed tomography angiography(CTA)on patients with hemoptysis.Method Clinical data of Hemoptysis patients who were hospitalized in NO.2 People's Hospital of Fuyang City from October 2016 to October 2020 were collected.According to different treatment methods,all subjects were divided into the observation group(using CTA)and the control group(without using CTA).Each group contained 50 cases.The postoperative effect,surgery time,intraoperative exposure time,contrast agent usage,catheter usage,and postoperative quality of life were compared between the two groups of patients.Result The postoperative effect of the observation group was better than that of the control group,and the difference was statistically significant(P=0.041).After the operation,the total effective rate of the observation group was 100%(50/50),which was higher than 92%(46/50)of the control group,and the difference was statistically significant(P<0.05).The surgery time and intraoperative exposure time of the observation group were shorter than those of the control group,contrast agent usage and the number of catheters usage were less than those of the control group,and the postoperative quality of life was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The employment of bronchial artery CTA examination before interventional surgery in patients with hemoptysis could shorten the time of interventional surgery and intraoperative exposure,reduce the usage of contrast agent,and improve the treatment effect with the better postoperative quality of life,which is worthy of promotion in clinical practice.

关 键 词：咯血 介入 支气管动脉 计算机体层血管成像 生活质量 

分 类 号：R543[医药卫生—心血管疾病]