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目的对选择性支气管动脉栓塞术在治疗因支气管扩张而导致的大咯血的临床疗效进行研究分析。方法随机抽取自2009年1月至2011年12月来我院就诊的60例由支气管扩张所引起的大咯血患者,随机分成两组,A组30例为手术组,进行选择性支气管动脉栓塞术;B组30例为药物组,应用药物治疗来进行止血;对两组的疗效差异进行比较观察,两组的差异有统计学方面的意义(P<0.05)。结果 A组30例患者中有26例在手术后即刻止血,剩余4例的咯血量也明显减少;B组中有17例患者经过药物治疗无效后,又进行了手术治疗,术后均即刻止血。结论选择性支气管动脉栓塞术具有并发症少,创伤小,起效快和安全可靠等优点,在治疗由支气管扩张所引起的大咯血方面具有很大的应用价值,非常值得在临床上进行推广应用。
Objective To study the clinical curative effect of selective bronchial artery embolization in the treatment of hemoptysis caused by bronchiectasis. Methods Sixty patients with hemoptysis caused by bronchiectasis were randomly divided into two groups randomly from January 2009 to December 2011. A group of 30 patients were operated on and treated with selective bronchial artery embolization ; Group B, 30 patients were treated with drug therapy to stop bleeding; The difference between the two groups was observed and compared. The difference between the two groups was statistically significant (P <0.05). Results A group of 30 patients in 26 cases immediately after surgery to stop bleeding, the remaining 4 cases of hemoptysis was also significantly reduced; B group of 17 patients after drug treatment was ineffective, but also for surgery, immediately after surgery to stop bleeding . Conclusions Selective bronchial artery embolization has the advantages of less complications, less trauma, quick onset and safety, which is of great value in the treatment of massive hemoptysis caused by bronchiectasis. It is worth to be popularized clinically .