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目的:探讨支气管动脉栓塞治疗肺结核大咯血48例的临床疗效。方法:抽取2013年3月-2015年3月于我院治疗肺结核大咯血的患者共96例,将患者按照按照不同治疗方法分为分为观察组与对照组,每组48例,对照组患者予以脑垂体后叶素静脉滴注治疗,观察组患者予以支气管动脉栓塞治疗,观察两组患者的咯血量、支气管动脉直径、治疗效果。结果:支气管动脉栓塞组患者咯血量(89.2±3.8)m L明显低于后叶素静脉滴注组(95.2±22.8)m L,差异具有统计学意义(P<0.05);支气管动脉栓塞组患者支气管动脉直径(4.2±1.8)mm明显短于后叶素静脉滴注组(6.4±1.6)mm,差异具有统计学意义(P<0.05);支气管动脉栓塞组患者治疗总有效率95.8%,明显高于后叶素静脉滴注66.7%,差异具有统计学意义(P<0.05)。结论:采用支气管动脉栓塞治疗肺结核大咯血,可以有效降低患者咯血量,缩短患者支气管动脉直径、提高治疗有效率。
Objective: To investigate the clinical efficacy of bronchial artery embolization in treating 48 patients with pulmonary tuberculosis massive hemoptysis. Methods: A total of 96 patients were selected from March 2013 to March 2015 in our hospital for the treatment of pulmonary tuberculosis massive hemoptysis. The patients were divided into observation group and control group according to different treatment methods, 48 cases in each group and control group To pituitrin therapy, observation group patients were treated with bronchial artery embolization, hemoptysis volume, bronchial artery diameter and therapeutic effect were observed in two groups. Results: The hemoptysis volume of bronchial artery embolization group (89.2 ± 3.8) m L was significantly lower than that of vetiver intravenous drip group (95.2 ± 22.8) m L, the difference was statistically significant (P <0.05); bronchial artery embolization group The diameter of bronchial artery (4.2 ± 1.8) mm was significantly shorter than that of vasopressin infusion group (6.4 ± 1.6) mm, the difference was statistically significant (P <0.05). The total effective rate of bronchial artery embolization group was 95.8% Higher than von Wotin intravenous infusion of 66.7%, the difference was statistically significant (P <0.05). Conclusion: The treatment of tuberculosis hemoptysis by bronchial artery embolization can effectively reduce the amount of hemoptysis, shorten the diameter of bronchial artery and improve the treatment efficiency.