CAJ | 학술논문

目的探讨Straub螺旋电吸式祛栓术治疗急性大面积肺栓塞的效果和安全性.方法 16例患者经CT及肺动脉造影确诊为大面积肺血管栓塞,均采用Straub Rotarex进行经皮机械祛栓,观察患者介入治疗成功率、临床症状缓解及血流动力学变化情况.结果 16例患者临床症状均得到改善.治疗前后动脉血氧分压[(56.7±13.4)、(92.2±8.6) mm Hg]、动脉血氧饱和度[(84.1±10.4)％、(96.6±l2.7)％]、休克指数[(1.27±0.39)、(0.57±0.42)]、Miller评分[(22.7±11.4)、(12.1±7.8)分]及平均动脉压[(36.3±9.4)、(21.9±7.3) mm Hg]比较差异均有统计学意义(t值分别为-2.794、2.601、-2.592、-2.638、-2.617,P均＜0.01).结论螺旋电吸式祛栓术在急性大面积肺栓塞治疗中具有较好的效果与安全性.
목적 탐토Straub라선전흡식거전술치료급성대면적폐전새적효과화안전성.방법 16례환자경CT급폐동맥조영학진위대면적폐혈관전새,균채용Straub Rotarex진행경피궤계거전,관찰환자개입치료성공솔、림상증상완해급혈류동역학변화정황.결과 16례환자림상증상균득도개선.치료전후동맥혈양분압[(56.7±13.4)、(92.2±8.6) mm Hg]、동맥혈양포화도[(84.1±10.4)％、(96.6±l2.7)％]、휴극지수[(1.27±0.39)、(0.57±0.42)]、Miller평분[(22.7±11.4)、(12.1±7.8)분]급평균동맥압[(36.3±9.4)、(21.9±7.3) mm Hg]비교차이균유통계학의의(t치분별위-2.794、2.601、-2.592、-2.638、-2.617,P균＜0.01).결론 라선전흡식거전술재급성대면적폐전새치료중구유교호적효과여안전성.
Objective To investigate the effect and safety of rotational power-driven thrombectomy therapy through intrapulmonary for acute massive pulmonary thromboembolism.Methods Sixteen patients of acute massive pulmonary thromboembolism diagnosed by CT and pulmonary angiography were treated with Straub Rotarex system.The successful rate,release of clinical manifestations and the blood hemodynamic changes were observed and analyzed.Results The clinical manifestations were improved remarkably in all the 16 patients,arterial partial pressure of oxygen,saturation of arterial blood oxygen,shock index,Miller score and mPAP were (56.7± 13.4) mm Hg,84.1 ± 10.4)％,(1.27 ±-0.39),(22.7±11.4) and (36.3 ±9.4) mm Hg respectively before treatment,and (92.2 ± 8.6) mm Hg,(96.6 ± 12.7) ％,(0.57 ± 0.42),(12.1 ± 7.8)points and (21.9 ± 7.3) mm Hg respectively after treatment,which were all improved significantly (t =-2.794,2.601,-2.592,-2.638,-2.617,P ＜ 0.01).Conclusion Rotational power-driven thrombectomy therapy through intrapulmonary is an effective and safe technique for the treatment of acute massive pulmonary embolism.