支气管动脉联合体—肺分流动脉栓塞治疗毁损肺合并大咯血的临床研究  

Clinical Application of Bronchial Artery Combined with Pulmonary Shunt Artery Embolization in the Treatment of Destroyed Lung Complicated with Massive Hemoptysis

作　　者：陈锦棠 梁宇闯[1] 杨锦钊[1] 莫均杰 赵振梁 梁卓荣 CHEN Jintang;LIANG Yuchuang;YANG Jinzhao(Department of Interventional Medicine,Jiangmen Central Hospital,Jiangmen City,Guangdong Province 529030)

机构地区：[1]广东省江门市中心医院介入医学科,529030

出　　处：《医学理论与实践》2023年第19期3252-3255,共4页The Journal of Medical Theory and Practice

摘　　要：目的:探究支气管动脉联合体—肺分流动脉栓塞术对治疗毁损肺合并大咯血的应用效果。方法:筛选我院2020年6月—2021年5月收治的50例毁损肺合并大咯血患者,随机分为两组,各25例。比较观察组(支气管动脉联合体—肺分流动脉栓塞术)和对照组(常规支气管动脉栓塞术)的治疗效果。结果:术后,观察组临床总有效率高于对照组(P<0.05);观察组的出血量和出血时间明显少于对照组(P<0.05);观察组患者各项肺功能水平明显好转,且改善幅度大于对照组(P<0.05);观察组的血脂水平均显著低于对照组(P<0.05);观察组的术后并发症发生率、咯血复发率显著低于对照组(P<0.05)。结论:毁损肺合并大咯血患者接受支气管动脉联合体—肺分流动脉栓塞术,可有效改善咯血症状,减少出血量和出血时间,改善肺功能水平和血脂水平,术后并发症较少,咯血复发率低,安全可靠。Objective:To explore the application effect of bronchial artery combined with pulmonary shunt artery embolization in the treatment of destroyed lung combined with massive hemoptysis.Methods:50 patients with lung damage combined with massive hemoptysis admitted to our hospital from June 2020 to May 2021 were selected and randomly divided into two groups with 25 cases in each group.The therapeutic effects of observation group(bronchial artery combined with pulmonary shunt artery embolization)and control group(routine bronchial artery embolization)were compared.Results:After operation,the clinical effective rate in the observation group were significantly higher than that in the control group(P<0.05).The bleeding amount and bleeding time of the observation group were significantly less than that in the control group(P<0.05).The level of lung function in the observation group was significantly improved,and the improvement was greater than that in the control group(P<0.05).The blood lipid levels in the observation group were significantly lower than that in the control group(P<0.05).The incidence of postoperative complications and recurrence rate of hemoptysis in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Bronchial artery combined with pulmonary shard artery embolization can effectively improve the symptoms of hemoptysis,reduce the amount and time of bleeding,improve the level of lung function and blood lipid,less postoperative complications,low recurrence rate of hemoptysis,safe and reliable.

关 键 词：支气管动脉栓塞术 体—肺动脉分流 毁损肺 大咯血 肺功能水平 血脂水平 

分 类 号：R563[医药卫生—呼吸系统]