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韩俊.多材料联合栓塞支气管动脉治疗大咯血的疗效研究[J].浙江中西医结合杂志,2017,27(6):
多材料联合栓塞支气管动脉治疗大咯血的疗效研究
投稿时间:2016-12-19  修订日期:2017-01-18
DOI:
中文关键词:  咯血  支气管动脉  栓塞
英文关键词:Hemoptysis  bronchial artery  Embolization
基金项目:
作者单位E-mail
韩俊* 嘉兴市第一医院 273974406@qq.com 
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中文摘要:
      目的 探讨多材料联合栓塞支气管动脉治疗大咯血的临床疗效。方法 收集本院2013年3月—2015年12月因大咯血进行多材料联合栓塞支气管动脉治疗的90例患者,术后对所有病例进行为期1年的随访,并对其治疗效果进行评价。结果 90例患者中共发现责任血管333支,经多材料联合栓塞治疗后,其治愈率为80.2% (72/90);好转率14.4%(13/90);无效率5.5%(5/90)。结论 多材料联合支气管动脉栓塞术治疗大咯血安全、有效,咯血复发的主要原因为漏栓及侧支循环的形成。
英文摘要:
      To investigate the clinical effectiveness of multiple materials combined bronchial artery embolization (BAE) for management of hemoptysis. Methods During the period from December 2015 to March 2013,a total of 90 patients with hemoptysis were admitted to authors’ hospital. Multiple materials combined BAE was carried out in all patients. All patients were followed up for 1 years, and and the therapeutic effect was evaluated. Results In all 90 patients, there were 333 vessels as the main responsibility.The recovery rate, improvement rate and inefficiency rate of multiple materials combined BAE for hemostasia was 80.2% (72/90), 14.4%(13/90)and 5.5%(5/90) respectively. Conclusion The method of multiple materials combined bronchial artery embolization (BAE) is safe and effective in the management of hemoptysis. Recurrence of hemoptysis may attribute to offending vessels without being embolized or formation of collateral circulations.
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