中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
23期
28-29
,共2页
支气管动脉栓塞术%大咯血
支氣管動脈栓塞術%大咯血
지기관동맥전새술%대각혈
Bronchial artery embolization%Big haemoptysis
目的：探讨支气管动脉栓塞术治疗大咯血的临床疗效，为提高此类患者生活质量及生命安全提供可靠依据。方法：选取2008年10月-2012年12月笔者所在医院收治的68例大咯血患者，采用抽签法将其分为观察组和对照组，各34例。两组大咯血患者均采用支气管动脉栓塞术治疗，观察组术中栓塞材料为聚乙烯醇颗粒，对照组术中栓塞材料为明胶海绵。术后记录两组患者手术疗效、并发症、复发率等情况。结果：两组24 h内成功止血率、术后并发症发生率等近期疗效比较差异无统计学意义(P>0.05)；观察组患者术后1年内大咯血复发率仅为8.82%，显著低于对照组的32.35%，差异有统计学意义(P<0.05)。结论：支气管动脉栓塞术属于微创手术方式，其特点为创伤小、术后并发症少，利于患者尽快恢复健康，治疗大咯血疗效显著，临床医师进行手术治疗前，应根据患者实际情况选择合适的栓塞材料，保障其疗效及预后。
目的：探討支氣管動脈栓塞術治療大咯血的臨床療效，為提高此類患者生活質量及生命安全提供可靠依據。方法：選取2008年10月-2012年12月筆者所在醫院收治的68例大咯血患者，採用抽籤法將其分為觀察組和對照組，各34例。兩組大咯血患者均採用支氣管動脈栓塞術治療，觀察組術中栓塞材料為聚乙烯醇顆粒，對照組術中栓塞材料為明膠海綿。術後記錄兩組患者手術療效、併髮癥、複髮率等情況。結果：兩組24 h內成功止血率、術後併髮癥髮生率等近期療效比較差異無統計學意義(P>0.05)；觀察組患者術後1年內大咯血複髮率僅為8.82%，顯著低于對照組的32.35%，差異有統計學意義(P<0.05)。結論：支氣管動脈栓塞術屬于微創手術方式，其特點為創傷小、術後併髮癥少，利于患者儘快恢複健康，治療大咯血療效顯著，臨床醫師進行手術治療前，應根據患者實際情況選擇閤適的栓塞材料，保障其療效及預後。
목적：탐토지기관동맥전새술치료대각혈적림상료효，위제고차류환자생활질량급생명안전제공가고의거。방법：선취2008년10월-2012년12월필자소재의원수치적68례대각혈환자，채용추첨법장기분위관찰조화대조조，각34례。량조대각혈환자균채용지기관동맥전새술치료，관찰조술중전새재료위취을희순과립，대조조술중전새재료위명효해면。술후기록량조환자수술료효、병발증、복발솔등정황。결과：량조24 h내성공지혈솔、술후병발증발생솔등근기료효비교차이무통계학의의(P>0.05)；관찰조환자술후1년내대각혈복발솔부위8.82%，현저저우대조조적32.35%，차이유통계학의의(P<0.05)。결론：지기관동맥전새술속우미창수술방식，기특점위창상소、술후병발증소，리우환자진쾌회복건강，치료대각혈료효현저，림상의사진행수술치료전，응근거환자실제정황선택합괄적전새재료，보장기료효급예후。
Objective:To study the clinical curative effect of bronchial artery embolization for acute massive hemoptysis,in order to improve the patients quality of life and safety of life to provide reliable basis.Method:68 cases of patients with acute massive hemoptysis were treated from October 2008 to December 2012 in author’s hospital,randomly divided into observation group and control group,34 cases in each.Two groups of patients with acute massive hemoptysis by bronchial artery embolization in treatment of embolic materials,the observation group for polyvinyl alcohol particles,the control group of embolic material for gelatin sponge.Record the treatment,two patients operation complications,recurrence rate after operation.Result:Two groups of 24 hours in the successful hemostasis rate,no significant postoperative complications curative effect difference(P>0.05).The patients in observation group after 1 years of massive hemoptysis recurrence rate was only 8.82%,significantly lower than the control group 32.35%,the difference was statistically significant(P<0.05).Conclusion:Bronchial artery embolization in minimally invasive surgery way,its characteristic is small trauma,less postoperative complications,patients restored to health as soon as possible,a big hemoptysis with obvious therapeutic effect,while clinical physician before surgery treatment,should be according to the actual situation to choose the appropriate embolism in patients with materials,guarantee the curative effect and prognosis.
