南方医科大学学报

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (04): 422-423.

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聚乙烯醇加明胶海绵栓塞支气管动脉治疗大咯血46例临床分析

吕良山, 刘亚民, 马清涌, 周明利, 宫清娥, 贾三院, 任云霞   

  1. 西安交通大学第一医院介入治疗中心, 陕西, 西安, 710061
  • 出版日期:2005-04-20 发布日期:2005-04-20
  • 基金资助:
    收稿日期:2004-7-21。
    作者简介:吕良山(1972-),男,在读博士研究生,电话:029-7727598

Bronchial artery embolization with polyvinyl alcohol foam and gelatinum sponge for serious hemoptysis

LÜ Liang-shan, LIU Ya-min, MA Qing-yong, ZHOU Ming-li, GONG Qing-e, JIA San-yuan, REN Yun-xia   

  1. 西安交通大学第一医院介入治疗中心, 陕西, 西安, 710061
  • Online:2005-04-20 Published:2005-04-20

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摘要： 目的 评价聚乙烯醇(PVA)加明胶海绵(GS)栓塞支气管动脉治疗大咯血的疗效。方法 对46例大咯血病人行支气管动脉栓塞(BAE)治疗,其中单纯GS栓塞21例,PVA加GS栓塞25例。结果 (1)BAE治疗后总有效率为91.3%;GS组有效率(90.5%)与PVA加GS组(91.3%)之间无显著差异(P>0.05)。(2)BAE治疗后总复发率为26.2%;GS组复发率(42.1%)与PVA加GS组(11.3%)之间有显著差异(P<0.05)。(3)BAE治疗后无严重并发症发生。结论 BAE是治疗大咯血的一种有效方法;PVA加GS栓塞治疗大咯血复发率低。

Abstract: Objective To evaluate the effect of bronchial artery embolization (BAE) with polyvinyl alcohol (PVA) foam and gelatinum sponge (GS) for serious hemoptysis. Method Of 46 patients with severe hemoptysis, BAE with only GS was performed in 21 cases and with both PVA and GS in 25 cases. Result The total efficacy rate of BAE was 91.3% and comparable between PVA+GS and GS groups (92.0% vs 90.5%, P>0.05). The total recurrence rate after BAE was 26.2%, but lower in PVA+GS group than in GS group (11.3% vs 42.1%, P<0.05). No serious complications occurred in these patients after BAE. Conclusion BAE is effective and safe for management of serious hemoptysis, and treatment with PVA+GS may effectively lower the recurrence rate.

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