经纤维支气管镜气道内球囊压迫术与支气管动脉栓塞术治疗支气管扩张所致大咯血患者的效果比较  

Comparison of effects of fiberoptic bronchoscopy-guided balloon compression and bronchial artery embolization in treatment of patients with severe hemoptysis caused by bronchiectasis

作　　者：梁超 LIANG Chao(Department of Thoracic Surgery of the Second Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第二附属医院胸外科,河南南阳473000

出　　处：《中国民康医学》2025年第4期141-143,147,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较经纤维支气管镜气道内球囊压迫术与支气管动脉栓塞术(BAE)治疗支气管扩张所致大咯血患者的效果。方法:回顾性分析2021年6月至2023年8月该院收治的96例支气管扩张所致大咯血患者的临床资料,按照手术方法不同将其分为研究组和对照组各48例。对照组行BAE治疗,研究组行经纤维支气管镜气道内球囊压迫术治疗。比较两组临床疗效、临床指标(止血时间、住院时间、治疗费用)水平、手术前后血气分析指标[动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))]水平、并发症发生率和大咯血再发生率。结果:两组治疗总有效率比较,差异无统计学意义(P>0.05);研究组止血时间、住院时间短于对照组,治疗费用少于对照组,差异均有统计学意义(P<0.05);术后,两组PaO_(2)水平均高于术前,且研究组高于对照组,两组PaCO_(2)水平均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);研究组大咯血再发生率为4.17%(2/48),低于对照组的18.75%(9/48),差异有统计学意义(P<0.05)。结论:经纤维支气管镜气道内球囊压迫术治疗支气管扩张所致大咯血患者可改善临床指标、血气分析指标水平,降低大咯血再发生率,效果优于BAE治疗。Objective:To compare effects of fiberoptic bronchoscopy-guided balloon compression and bronchial artery embolization(BAE)in treatment of patients with severe hemoptysis caused by bronchiectasis.Methods:The clinical data of 96 patients with severe hemoptysis caused by bronchiectasis admitted to this hospital from June 2021 to August 2023 were retrospectively analyzed.According to different surgical methods,they were divided into study group and control group,48 cases in each group.The control group was treated with BAE,while the study group was treated with fiberoptic bronchoscopy-guided balloon compression.The clinical efficacy,the clinical indexes(hemostasis time,hospitalization time,treatment cost)levels,the blood gas analysis indexes[arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))]levels before and after the surgery,the incidence of complications,and the recurrence rate of severe hemoptysis were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).The hemostasis time and the hospitalization time of the study group were shorter than those of the control group,the treatment cost was less than that of the control group,and the differences were statistically significant(P<0.05).After the surgery,the levels of PaO_(2) in the two groups were higher than those before the surgery,and that in the study group was higher than that in the control group;the levels of PaCO_(2) in both groups were lower than those before the surgery,and that in the study group was lower than that in the control group;and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The recurrence rate of severe hemoptysis in the study group was 4.17%(2/48),which was lower than 18.75%(9/48)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Fiberoptic bronchoscopyguided balloon comp

关 键 词：支气管扩张 大咯血 支气管动脉栓塞术 纤维支气管镜 球囊压迫术 血气分析指标 并发症 

分 类 号：R562.21[医药卫生—呼吸系统]