【摘要】 目的探讨明胶海绵(GS)颗粒和聚乙烯醇(PVA)颗粒用于肋间支气管动脉内栓塞治疗急性大咯血的临床疗效。方法52例急性大咯血患者,先行选择性支气管动脉造影,利用同轴导管技术,用3F SP微导管超选择插管至出血支气管动脉分支,A组(24例)用GS颗粒栓塞;B组(28例)用PVA颗粒栓塞。结果A组24例患者,栓塞后即刻止血16例(66.67%),72 h内完全停止咯血7例(29.17%),栓塞止血有效率为95.83%;B组28例患者栓塞后即刻止血24例(85.71%),72 h内完全停止咯血1例(14.29%),栓塞止血有效率为100%。A、B 2组有效率无显著性差异(P(0.05)。随访1年,A组复发6例(25%),B组复发1例(3.57%),复发率有显著性差异(P(0.05)。结论肋间支气管动脉栓塞术是治疗大咯血有效方法,应用PVA颗粒为栓塞剂,安全有效,不易复发,临床疗效显著。更多还原

【Abstract】 Objective To study the effect of intercostal bronchial artery embolization(BAE) with gelatinum sponge(GS) or polyvinyl alcohol(PVA) in treating acute massive hemoptysis.Methods Fifty-two patients with acute massive hemoptysis underwent selective bronchial arteries angiogaphy first,then superselective bronchial arteries embolization using 3F SP catheter with GS in group A(n=24) and with PVA in group B(n=28).Results In group A,immediate control of hemoptysis was achieved in 16 patients(66.67%),marked reduce in bleeding was seen in 7 patients(29.17%),the effective rate was 95.83%.In group B,immediate control of hemoptysis was achieved in 24 patients(85.71%),marked reduce in bleeding was seen in one patients(14.29%),the effective rate was 100%(P﹥0.05).All patients were followed-up for one year.The recurrent rate was 25%(6 cases) in group A and 3.57%(1 case) in group B(P﹤0.05).Conclusion BAE with PVA is effective and safe method in treating serious hemoptysis.更多还原