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目的 比较单纯支气管动脉栓塞与局部使用立止血 +栓塞治疗肺结核大咯血的疗效 ,以提高支气管动脉栓塞治疗肺结核大咯血的治愈率。方法 将 62例结核咯血病人 ,随机分成两组各 3 1例 ,分别用支气管动脉栓塞 (A组 )和支气管动脉局部用立止血 +栓塞 (B组 )的方法治疗。对两组的疗效 ,复发情况和并发症进行比较。结果 A组有效率为64 .5 % ,B组 87.1% ,两组有显著性差异 ( χ2 =4.3 0 9,P <0 .0 5 ) ;A组共行栓塞治疗 5 2次 ,B组 3 7次 ;两组均未发生脊髓梗塞 ,食管支气管瘘 ,误栓等严重并发症。结论 用立止血进行支气管动脉局部注射合并栓塞治疗能提高动脉栓塞治疗肺结核大咯血的疗效 ,局部用立止血安全、严重不良反应少。
Objective To compare the curative effect of simple bronchial arterial embolism with topical use of stop bleeding and embolization in the treatment of pulmonary tuberculosis massive hemoptysis to improve the cure rate of bronchial artery embolization in treating tuberculosis massive hemoptysis. Methods Sixty-two patients with tuberculosis and hemoptysis were randomly divided into two groups of 31 patients, treated with bronchial artery embolization (group A) and local bronchial artery with stop bleeding and embolization (group B). The efficacy, recurrence and complications of the two groups were compared. Results The effective rate was 64.5% in group A and 87.1% in group B, with significant difference between the two groups (χ2 = 4.3 0 9, P <0.05) 7 times. There was no serious complications such as spinal cord infarction, esophageal bronchial fistula and mishandling in both groups. Conclusion The use of Rengang blood for local injection of bronchial artery embolization can improve the efficacy of arterial embolization in the treatment of tuberculosis and hemoptysis, local bleeding with stop bleeding, serious adverse reactions.