自体血混合真丝线栓塞治疗体动脉源性咯血的效果分析

中华养生保健 ›› 2022, Vol. 40 ›› Issue (24): 12-15.

自体血混合真丝线栓塞治疗体动脉源性咯血的效果分析

郭永斌, 郭锦

甘肃省武威市人民医院介入科,甘肃武威,733000

出版日期:2022-12-16 发布日期:2022-12-16
作者简介:郭永斌（1971.9-）,男,汉族,籍贯：甘肃省武威市,本科,副主任医师,研究方向：咯血介入治疗所用栓塞材料。
基金资助:
甘肃省武威市科研项目（WW160217）

Effect Analysis of Autologous Blood Mixed Silk Thread Embolization in the Treatment of Arterial Hemoptysis

GUO Yong-bin, GUO Jin

Interventional Department, People's Hospital of Wuwei City, Gansu Province, Wuwei Gansu, 733000, China

Online:2022-12-16 Published:2022-12-16

摘要/Abstract

摘要： 目的探讨自体血混合真丝线栓塞治疗体动脉源性咯血的效果。方法选取2016年2月~2019年3月甘肃省武威市人民医院收治的体动脉源性咯血患者60例为研究对象,采用随机数表法分为试验组和对照组,每组30例。试验组采用自体血混合真丝线段栓塞支气管动脉,对照组采用聚乙烯醇颗粒栓塞剂栓塞支气管动脉。比较两组患者术后即刻栓塞成功率及复发率,评价安全性。结果试验组即刻栓塞成功率为100%,对照组术中排除3例,余下27例支气管动脉全部栓塞成功,成功率为100%,两组栓塞成功率比较差异无统计学意义（P>0.05）。在随访期内,试验组复发率为23.33%,对照组复发率为23.08%,两组比较差异无统计学意义（P>0.05）。两组均未出现严重并发症。结论自体血混合真丝线栓塞治疗体动脉源性咯血术后即刻栓塞成功、随访复发情况及并发症较少,与聚乙烯醇颗粒栓塞剂的效果相当,具有应用价值。

关键词: 咯血, 自体血, 真丝线, 聚乙烯醇颗粒栓塞剂, 支气管动脉

Abstract: Objective To investigate the effect of autologous blood mixed with silk thread embolization in the treatment of systemic arterial hemoptysis. Methods A total of 60 patients with systemic arterial hemoptysis from February 2016 to March 2019 in Interventional Department of People's Hospital of Wuwei City, Gansu Province were selected as research subjects and were randomly divided into two groups (named experimental group and control group respectively), with 30 cases in each group. The experimental group was embolized by autologous blood mixed wire segment, and the control group used polyvinyl alcohol granule embolization agent. The success rate and recurrence rate were compared between the two groups. Results The immediate success rate of embolization in the experimental group was 100%, while in the control group, 3 cases were excluded during the operation, and the remaining 27 bronchial arteries were successfully embolized, with a success rate of 100%. There was no statistical significance in the embolization success rate between the two groups (P>0.05). During the follow-up period, the recurrence rate of the experimental group was 23.33%, and the recurrence rate of the control group was 23.08%, and there was no statistical significance between the two groups (P>0.05). There were no serious complications in either group. Conclusion Autologous blood mixed silk thread embolization in the treatment of systemic arterial hemoptysis after immediate successful embolization, less recurrence and less complications in follow-up, the effect is comparable to that of polyvinyl alcohol granule embolization agent, and has application value.

Key words: hemoptysis, autologous blood, silk thread, polyvinylalcohol, bronchial artery

中图分类号:

R441.6

郭永斌, 郭锦. 自体血混合真丝线栓塞治疗体动脉源性咯血的效果分析[J]. 中华养生保健, 2022, 40(24): 12-15.

GUO Yong-bin, GUO Jin. Effect Analysis of Autologous Blood Mixed Silk Thread Embolization in the Treatment of Arterial Hemoptysis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(24): 12-15.

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