凌春华 王光杰 马家用 陶岳多 黄建安 215006 苏州，苏州医学院附属第一医院呼吸内科 中华结核和呼吸感染 1998 0 0 5


    关键词：支气管动脉；咯血；栓塞，治疗性 期刊 zhjhhhxgr 0 论著 fur -->


    

【摘要 】 目的 评价不同的材料和操作程序，对支气管动脉栓塞治疗咯血的远期疗效的影响。方法 72例咯血患者，分组接受选择性支气管动脉双重栓塞和单纯明胶海绵栓塞治疗。29例患者选择支气管动脉双重栓塞时，首程采用明胶微粒(0.5 mm × 0.5 mm)、高渗氯化钠和红霉素的混合物栓塞末梢血管，次程以明胶颗粒(1 mm × 1 mm)栓塞主干及1～2级分支血管，43例患者选择单程明胶海绵栓塞治疗。结果 两组患者经过治疗后及随访2～4.8年，止血治愈率和总有效率分别为：双重栓塞组83%、100%，单纯明胶海绵栓塞组61%、95%。两组病例止血治愈率相比较，差异有显著性(P<0.05)。结论 选择性支气管动脉双重栓塞能明显提高治疗咯血的远期疗效。

The long-termeffect of double embolization of bronchial artery on patients with hemoptysis

Ling Chunhua, Wang Guangjie,Ma Jiayong ,et al. Department of Respiratory Disease, The First Affiliated Hospital ofSuzhou Medical College,Suzhou 215006

【Abstract 】 Objective To investigate the long-term effect of bronchial arterialembolization with different material and procedure on patients with hemoptysis. Method Seventy two cases were divided into two groups, onereceived the double embolization of bronchial artery, the other group used single gelfoamembolization.In double embolization group, the mixture containing gelfoam microspheres(0.5 mm × 0.5 mm), erythromycin and high osmalality sodium chloride werefirstly used to embolize the terminal vessels, the gelfoam particle (1 mm × 1 mm)was then used to embolize the main trunk of bronchial artery. Result After 2～4.8years following up, it turned out that the cure rate and general effectiveness were : thedouble embolization group 83%,100% respectivly, the single gelfoam embolization group 61%,95%. By comparison, there were significant difference on cure rate between these twogroups(P<0.05). Conclusion The bronchial arterial double embolization will increase thelong-term effect obviously on patients with hemoptysis.

     ......

您现在查看是摘要页，全文长 17557 字符。