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目的观察和评价支气管动脉栓塞术治疗肺结核大咯血的疗效。方法选择84例肺结核大咯血患者随机分成两组,A组(42例)常规治疗组,B组常规治疗组加支气管动脉栓塞治疗。结果全部咯血病例支气管动脉造影均有不同程度血管增生紊乱,典型者为扫帚状增生紊乱的血管束,严重者伴有肺内出血病灶。两组治疗成功率为A组71.4%,B组95.2%,两者之间差异有统计学意义(P<0.05)。结论支气管动脉栓塞术治疗肺结核大咯血患者创伤小,且安全有效,在抢救大咯血方面具有实际意义,为控制大咯血提供了一种实用新途径。
Objective To observe and evaluate the efficacy of bronchial artery embolization in the treatment of tuberculosis hemoptysis. Methods Eighty-four patients with tuberculosis and hemoptysis were randomly divided into two groups: group A (n = 42) and group B (n = 20). The patients in group B received bronchial artery embolization. Results All cases of hemoptysis bronchial artery angiography have varying degrees of vascular proliferation disorders, typically broom-like proliferation of vascular disorder disorder, severe cases associated with intra-pulmonary hemorrhage. The success rate of treatment in both groups was 71.4% in group A and 95.2% in group B, with a significant difference between the two groups (P <0.05). Conclusions Bronchial artery embolization is a safe and effective method for the treatment of pulmonary tuberculosis patients with massive hemoptysis. It is of practical significance in the rescue of massive hemoptysis and provides a practical and effective way to control massive hemoptysis.