摘要
目的分析锁骨下动脉及分支栓塞对肺结核大咯血临床疗效的影响。方法 257例肺结核大咯血患者根据治疗方法分为两组:对照组103例,行支气管动脉和肋间动脉分支栓塞;治疗组154例,行支气管动脉、肋间动脉造影、锁骨下动脉分支栓塞。观察两组临床疗效,术后反应及并发症。结果治疗组和对照组有效率分别为94.2%和80.6%,差异有统计学意义(P<0.05);复发率分别为3.2%和11.7%,差异有统计学意义(P<0.05);患者术后有胸背痛或发热,无脊髓损伤及异位栓塞等并发症出现。治疗组和对照组疼痛发生率分别为66.9%和48.5%,差异有统计学意义(P<0.05)。但严重疼痛发生率分别为7.8%和2.9%,没有统计学差异(P>0.05)。结论锁骨下动脉分支栓塞可明显提高有效率,降低复发率。
Objective To observe the efficacy and safety of subclavian arterial angiography and interventional treatment for massive hemoptysis of pulmonary tuberculosis.Methods The 257 patients were divided into two groups.Control group with 103 patients were received bronchial and intercostal angiography and embolization.Therapeutic group with 154 patients were received bronchial and intercostal and subclavian arterial angiography and embolization.The therapeutic effect,respond and complication were observed.Results The efficacy rate was 94.2% for therapeutic group and 80.6% for control group,with obviously statistically significant.Recurrence rate were 3.2% and 11.7%,with obviously statistically significant.Some patients had chest-back pain but no spinal cord injuries and abnormal position embolization postoperatively.The pain rate were 66.9% and 48.5%,with obviously statistically significant.However,severity pain rate were 7.8% and 2.9%,with no statistically significant.Conclusions The subclavian arterial angiography and interventional treatment can improve effective power and depress recurrence rate obviously.
出处
《中华临床医师杂志（电子版）》
CAS
2011年第20期5909-5912,共4页
Chinese Journal of Clinicians(Electronic Edition)
关键词
结核
肺
咯血
锁骨下动脉
栓塞
Tuberculosis,pulmonary
Hemoptysis
Subclavian artery
Embolism
