CAJ | 학술논문

目的：改进介入治疗方法对支气管动脉畸形顽固性咯血供血动脉栓塞更好治疗效果。方法对我院2009年5月至2013年12月DSA血管造影证实支气管动脉畸形致咯血病例54例，随机分成治疗组和对照组，治疗组为明胶海绵(GS)联合聚乙烯醇微粒(PVA)和/或弹簧圈共32例，对照组为单纯GS22例。所有患者术后1d，1周，1月，3月，6月，1年随访，数据用方差、秩和检验进行分析。结果治疗组随访治愈28例，有效3例，部分有效1例。对照组中治愈13例，有效5例，部分有效2，无效2例。治疗组有效率高于对照组，复发率较对照组低，两组和检验P<0.05，差异有统计学意义。结论供血动脉联合栓塞是治疗支气管动脉畸形顽固性咯血疗效显著，方法安全、持久，止血迅速，术后复发率低，有效提高大咯血介入治疗成功率。
목적：개진개입치료방법대지기관동맥기형완고성각혈공혈동맥전새경호치료효과。방법대아원2009년5월지2013년12월DSA혈관조영증실지기관동맥기형치각혈병례54례，수궤분성치료조화대조조，치료조위명효해면(GS)연합취을희순미립(PVA)화/혹탄황권공32례，대조조위단순GS22례。소유환자술후1d，1주，1월，3월，6월，1년수방，수거용방차、질화검험진행분석。결과치료조수방치유28례，유효3례，부분유효1례。대조조중치유13례，유효5례，부분유효2，무효2례。치료조유효솔고우대조조，복발솔교대조조저，량조화검험P<0.05，차이유통계학의의。결론공혈동맥연합전새시치료지기관동맥기형완고성각혈료효현저，방법안전、지구，지혈신속，술후복발솔저，유효제고대각혈개입치료성공솔。
Objective: To improve the interventional treatment of bronchial artery malformation feeding artery embolization intractable hemoptysis better therapeutic effect. Methods: From May 2009 - December 2013 DSA angiography confirmed cases of hemoptysis caused by bronchial artery malformation, 54 cases were randomly divided into treatment group and control group, treatment group gelatin sponge (GS) joint polyvinyl alcohol particles (PVA) and / or coils of 32 patients in the control group was simply GS22 cases. All patients 1d, 1 week, 1 month, 6 months, 1 year follow-up data variance, rank sum test for analysis.Results:Follow-up treatment group were cured 28 cases, effective in three cases, one case effectively. In the control group were cured 14 cases, effective in 5 cases, 2 cases. Treatment group was higher efficiency, lower relapse rate than the control group, the two groups and testP<0.05, the difference was statistically significant.Conclusion: Feeding artery embolization for the treatment of bronchial artery malformation intractable hemoptysis significant effect, method is safe, durable, bleeding quickly, recurrence rate, effective intervention to improve hemoptysis.Effectively improve the success rate of interventional treatment of hemoptysis.