超选择插管行支气管动脉栓塞术在急性大咯血中的临床应用

中国临床药理学与治疗学 ›› 2008, Vol. 13 ›› Issue (2): 179-183.

超选择插管行支气管动脉栓塞术在急性大咯血中的临床应用

段润卿¹, 谢春明², 薛建秀³, 马成杰⁴, 管京乐⁵

¹杭州萧山区第一人民医院放射科, 杭州 311200, 浙江;
²山西医科大第一附属医院放射科介入病房, 太原 030001, 山西;
³杭州萧山区第一人民医院耳鼻喉科, 杭州 311200, 浙江;
⁴北京中医药大学肿瘤血液中心, 北京 100700;
⁵南方医科大学南方医院介入科, 广州 510515, 广东

收稿日期:2007-05-22 修回日期:2008-01-23 出版日期:2008-02-26 发布日期:2020-10-14
通讯作者: 谢春明, 男, 教授, 主任医师, 硕士生导师, 主要从事放射诊断、教学、科研工作。
作者简介:段润卿, 男, 硕士, 主治医师, 主要从事影像诊断与介入治疗。Tel:13777388636 E-mail:duanrq2003@yahoo.com.cn

Clinical application of microcatheter superselective bronchial artery embolization in acute hemoptysis

DUAN Run-qing¹, XIE Chun-ming², XUE Jian-xiu³, MA Cheng-jie⁴, GUAN Jing-yue⁵

¹Department of Raliology, First People’s Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China;
²Department of Raliology, First Affiliated Hospital of ShanxiMedical University, Taiyuan 030001, Shanxi, China;
³Department of Otorhinolaryngology, First People’s Hospital of Xiaoshan, Hangzhou 311200, Zhejiang, China;
⁴Department of Oncology and Hematology, Beijing University of Traditional Chinese Medicine, Beijing 100700, China;
⁵Department of Intervention, Affiliated Hospital of Southern Medical University, Guangzhou 510515, Guangdong, China

Received:2007-05-22 Revised:2008-01-23 Online:2008-02-26 Published:2020-10-14

摘要/Abstract

摘要： 目的:探讨超选择插管不同栓塞剂行支气管动脉栓塞术治疗大咯血的临床价值。方法:大咯血患者45 例, 分为明胶海绵组(9 例) 、聚乙烯醇+明胶组(13 例) 、聚乙烯醇+丝线+明胶组(23 例), 所有病例术后随访1 ~ 2 年。结果:三组病例近期有效率分别为88.9 %、100 %、100 %, 且三种方法效果比较无统计学差异;中期有效率三者分别为77.8 %、100 %、100 %;远期有效率分别为57.1 %、100 %、100 %;中、远期有效率比较三种方法有统计学差异(P <0.05)。结论:聚乙烯醇+明胶海绵、聚乙烯醇+丝线+明胶海绵栓塞术是治疗急症大咯血的有效治疗手段, 后者疗效更为可靠。

关键词: 咯血, 微导管, 支气管动脉栓塞术, 聚乙烯醇, 明胶海绵

Abstract: AIM:To study the clinical efficacy of microcatheter superselective bronchial artery embolization in acute hemoptysis with different embolism agents.METHODS:Microcatheter superselective bronchial artery embolization was performed in 45 patients with massive hemoptysis, among them 9 cases were embolized with simple gelfoam sponge particles (GS), 13 cases with polyvinyl alcohol (PVA) and GS, 23 cases with PVA and GS and suture silk, All cases were followed up for 1 to 2 years.RESULTS:The recent, metaphase and long-term effective power of three groups were as follows:77.8 %, 100 %, 100 %; 77.8 %, 100 %, 100 %;57.1 %, 100 %, 100 %. There was no distinct difference among the recent effective power, but there was discrimination among metaphase and long-term effective power.CONCLUSION:The bronchial artery embolization with PVA plus GS, and PVA plus GS and suture silk group were more efficient therapy in acute hemoptysis.

Key words: hemoptysis, microcatheter, bronchial arterial embolism, polyvinyl alcohol, gelatin sponge

中图分类号:

R654.3

段润卿, 谢春明, 薛建秀, 马成杰, 管京乐. 超选择插管行支气管动脉栓塞术在急性大咯血中的临床应用[J]. 中国临床药理学与治疗学, 2008, 13(2): 179-183.

DUAN Run-qing, XIE Chun-ming, XUE Jian-xiu, MA Cheng-jie, GUAN Jing-yue. Clinical application of microcatheter superselective bronchial artery embolization in acute hemoptysis[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2008, 13(2): 179-183.