不同聚乙烯醇颗粒栓塞剂联合同轴微导管栓塞治疗大咯血的近远期疗效分析  

Short-term and long-term curative effect of different polyvinyl alcohol embolic agents combined with coaxial microcatheter embolization on massive hemoptysis

作　　者：魏兴 刘斌 牛犇 胡凯 WEI Xing;LIU Bin;NIU Ben;HU Kai(Interventional Catherization Room,Wanbei Coal-Electricity Group General Hospital,Suzhou,Anhui Province 234000,China)

机构地区：[1]皖北煤电集团总医院介入导管室,安徽宿州234000

出　　处：《实用放射学杂志》2024年第1期111-114,共4页Journal of Practical Radiology

摘　　要：目的探讨不同聚乙烯醇(PVA)颗粒栓塞剂联合同轴微导管栓塞治疗大咯血的近远期疗效。方法选取60例大咯血患者,根据栓塞剂不同分为聚乙烯醇栓塞微球组(微球组)32例和聚乙烯醇泡沫栓塞微粒组(微粒组)28例,分别给予聚乙烯醇栓塞微球、聚乙烯醇泡沫栓塞微粒联合同轴微导管栓塞治疗。比较2组疗效、凝血指标水平、咯血量、并发症发生率及咯血复发率。结果2组治疗有效率无显著差异(P>0.05);微球组咯血量显著少于微粒组(P<0.05);2组并发症发生率无显著差异(P>0.05);微球组咯血复发率为3.03%,低于微粒组的21.43%(P<0.05)。结论聚乙烯醇栓塞微球、泡沫栓塞微粒联合同轴微导管栓塞治疗大咯血疗效确切,聚乙烯醇栓塞微球联合同轴微导管栓塞治疗大咯血远期预后较好。Objective To explore the short-term and long-term curative effect of different polyvinyl alcohol(PVA)embolic agents combined with coaxial microcatheter embolization on massive hemoptysis.Methods According to different embolization agents,60 patients with massive hemoptysis were divided into polyvinyl alcohol embolization microsphere group(microsphere group,32 cases,polyvinyl alcohol embolization microsphere+coaxial microcatheter embolization)and polyvinyl alcohol foam embolization microparticle group(microparticle group,28 cases,polyvinyl alcohol foam embolization microparticle+coaxial microcatheter embolization).The curative effect,coagulation indexes,hemoptysis volume,incidence of complications and recurence rate of hemoptysis were compared between the two groups.Results The difference in the response rates to treatment between the two groups was not statistically significant(P>0.05).Hemoptysis volume was significantly less in the microsphere group than that in the microparticle group(P<o.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The recurrence rate of hemoptysis was lower in the microsphere group than that in the microparticle group(3.03%vs 21.43%)(P<0.05).Conclusion The curative effect of both polyvinyl alcohol embolization microsphere and foam embolization microparticle combined with coaxial microcatheter embolization is highly effective on massive hemoptysis.The long-term prognosis of polyvinyl alcohol embolization microsphere combined with coaxial microcatheter embolization is better.

关 键 词：大咯血 栓塞 聚乙烯醇 同轴微导管技术 远期预后 

分 类 号：R441.7[医药卫生—诊断学] R815[医药卫生—临床医学]