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1、支气管动脉栓塞术治疗肺结核咯血的临床疗效分析第27卷第4期2009年8月江西JIANGXI科学SCIENCEVol.27No.4Aug.2009文章编号:1001—3679（2009）04—0540—o4支气管动脉栓塞术治疗肺结核咯血的临床疗效分析董秋兰，李少杰,王颖.（1•珠海市结核病防治所，广东珠海519000;2.珠海市人民医院，广东珠海519000;3.屮山大学第五附属医院，广东珠海519000）摘要:为探讨支气管动脉栓塞术治疗肺结核咯血的临床疗效和安全性•将172例肺结核咯血病人分为两组，其中49例
2、应用支气管动脉栓塞术治疗（A组）,123例应用垂体后叶素或酚妥拉明加止血剂等内科治疗（B组），观察两组咯血缓解情况•结果A组的治愈率，总有效率，复发率分另q为67.35%,95.92%和10.20%,均优于对照组的17.89%,68.29%,36.59%.支气管动脉栓塞术是治疗肺结核咯血的有效方法，成功率高，创伤小，并发症少,临床效果满意•准确，完整地找到供血血管并运用恰当材料进行栓塞是有效止血并减少术后复发的关键.关键词:肺结核;咯血;支气管动脉;栓塞屮图分类号:R521文献标识码:ATheClinical
3、EffectAnalysisofBronchialArteryEmbolizationinPatientswithLungTuberculosisandHemoptysisDONGQiu」an,LIShao-jie,WANGYi(1.InstituteofTuberculosisControl,GuangdongZhuhm519000PRC;2.ZhuhmMunicipalPeople,SHospital,GuangdongZhuhai519000PRC;3.SunYat.senUniversityFifth
4、AffiliatedHospital,GuangdongZhuhm519000PRC)Abstract:Inordertoexploretheclinicaleffectandsecurityofbronchialarteryembolizationinpa——tientswithlungtuberculosisandhemoptysis.l72casespatientswithlungtuberculosisandhemopty——siswereassignedtoreceiveeitherbronchia
5、larteryembollization(Agroup)(n=49)ormedicaltreatment(Bgroup)(n=123).Observationoftheclinicaleffectsoftwogroupsofhemoptysiscom——pared.Theresultsofthecureratewas67.35%,thetotaleffectiveratewas95.92%,andtherelapseratewas10.20%forAgroup.Thecureratewas17.89%,the
6、totaleffectiveratewas68.29%,andtherelapseratewas36.59%forBgroup.MoreadversereactionswerefoundinAgroupthaninBgroup.Bronchialarteryembolizationtherapyisaneffectivemethodforcontrollingmassivehemoptysisduetopulmonarytuberculosis.Therearetheclinicalcharacteristi
7、csofhighsuccessrateJesstrauma,andfewercomplicationsduetobronchialarteryembolization.Thecriticalmeasuresofcheckingtheblood-supplyarteriesexactlyandcompletelyandembolizingreliablywithappropriateembolicmateri?alcancontrolhemorrhageanddecreaserecurrenceeffectiv
8、ely.Keywords:Pulmonarytuberculosis,Hemoptysis,Bronchialartery,Embolization收稿日期:2009—05—26;修订日期:2009—07—o8作者简介:董秋兰(1968—)，女，本科，副主任医师，主要从事结核病防治工作.第4期董秋兰等:支气管动脉栓塞术治疗肺结核咯血的临床疗效分析?541?0前言咯血有多种原因，其屮大咯血是常见急症和
