医用组织胶在支气管动脉栓塞术治疗急性咯血中的临床对照研究  

Comparative study of medical tissue glue in the treatment of acute hemoptysis by bronchial arterial embolization

作　　者：宋晶晶[1] 杨胜利 赵中伟[1] 涂建飞[1] 纪建松[1] SONG Jingjing;YANG Shengli;ZHAO Zhongwei;TU Jianfei;JI Jiansong(Cancer Center,the Fifth Affiliated Hospital of Wenzhou Medical University,Lishui,Zhejiang Province 323000,China)

机构地区：[1]温州医科大学附属第五医院肿瘤中心,浙江丽水323000

出　　处：《实用放射学杂志》2024年第11期1884-1887,共4页Journal of Practical Radiology

摘　　要：目的评估医用组织胶在支气管动脉栓塞术(BAE)治疗急性咯血中的临床应用价值。方法回顾性收集急诊行BAE治疗咯血78例患者的临床资料,将采用医用组织胶进行栓塞的18例患者作为研究组,采用吸收性明胶海绵颗粒联合弹簧圈进行栓塞的18例患者作为对照组,对比分析2组患者治疗的技术成功率、平均手术操作时间、平均手术费用、术后咯血复发率、不良反应发生率等指标。结果2组患者治疗的技术成功率均为100%,2组患者术后咯血的复发率、不良反应发生率无统计学差异(P>0.05),研究组和对照组平均手术操作时间分别为53.4 min[(53.4±2.2)min]、65.4 min[(65.4±2.8)min],平均手术费用分别为3651元[(3651±102.7)元]和5094元[(5094±136.3)元]。相比对照组,研究组的平均手术操作时间更短,平均手术费用更低,差异有统计学意义(P<0.05)。结论BAE治疗急性咯血患者中,相比吸收性明胶海绵颗粒联合弹簧圈栓塞,采用医用组织胶进行栓塞同样安全、有效,且平均手术操作时间更短,患者的手术费用更低,值得临床推广应用。Objective To evaluate the clinical application value of medical tissue glue in the treatment of acute hemoptysis by bronchial arterial embolization(BAE).Methods The clinical data of 78 patients who underwent emergency BAE for hemoptysis were retrospectively collected.Among them,18 patients who underwent embolization with medical tissue glue were selected as a study group,and other 18 patients who underwent embolization with absorbent gelatin sponge particles and spring coil were selected as a control group.The technical success rates,average surgical operation time,average surgical cost,postoperative hemoptysis recurrence rate,and incidence of adverse reactions of the two groups were compared and analyzed.Results The technical success rates of the two groups were both 100%.There were no statistically significant differences in recurrence rate of postoperative hemoptysis and incidence of adverse reactions between the two groups(P>0.05).The average surgical operation time of study group and control group were 53.4 min[(53.4±2.2)min]and 65.4 min[(65.4±2.8)min],and the average surgical cost were 3651 yuan[(3651±102.7)yuan]and 5094 yuan[(5094±136.3)yuan],respectively.Compared with the control group,the average surgical operation time and average surgical cost of the study group were shorter,and the differences were statistically significant(P<0.05).Conclusion Compared with absorbent gelatin sponge particles combined with spring coil embolization,the use of medical tissue glue for embolization is also safe and effective in the treatment of acute hemoptysis patients by BAE.The average surgical operation time is shorter,and the surgical cost for patients is lower.It is worth promoting in clinical practice.

关 键 词：医用组织胶 支气管动脉栓塞术 咯血 介入治疗 

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