[1]张文浩,叶丽芳,任医民,等.选择性动脉栓塞术治疗咯血效果及复发相关因素分析 [J].介入放射学杂志,2020,29(01):35-38.
　ZHANG Wenhao,YE Lifang,REN Yimin,et al.Selective arterial embolization for hemoptysis: clinical analysis of the curative effect and recurrent factors[J].journal interventional radiology,2020,29(01):35-38.
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选择性动脉栓塞术治疗咯血效果及复发相关因素分析

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年01
页码:
35-38
栏目:
血管介入
出版日期:
2020-02-10

文章信息/Info

Title:
Selective arterial embolization for hemoptysis: clinical analysis of the curative effect and recurrent factors
作者:
张文浩; 叶丽芳; 任医民; 赖清; 伍筱梅
Author(s):
ZHANG Wenhao;  YE Lifang;  REN Yimin;  LAI Qing;  WU Xiaomei.
Department of Radiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong Province 510210, China
关键词:
【关键词】　咯血; 选择性动脉栓塞术; 疗效; 复发因素
文献标志码:
A
摘要:
【摘要】　目的?评价选择性动脉栓塞术（SAE）治疗咯血的效果，分析影响术后复发的因素。
方法?回顾性分析2010年1月至2017年4月收治的符合入组标准的600例咯血患者临床资料。对一般资料、病变动脉数、动脉造影表现、随访结果进行统计学分析。一般资料采用描述性统计和频数分析。以病变动脉数3支为临界值，将全部入组患者分为A组（病变动脉数≤3，n=231）和B组（病变动脉
数＞3，n=369），t检验分析两组资料间差异。生存分析寿命表法分析手术止血率。Cox回归模型分析复发影响因素。结果?A、B组支气管动脉（BA）均数和非支气管性体动脉（NBSA）均数差异均有显著统计学意义（P＜0.01）。病变动脉数＞3支时，异常BA和NBSA数均增加，且NBSA数显著增加。SAE术后24 h、3个月、6个月、1年、2年、3年累积止血率分别为99%、81%、78%、72%、66%、63%。Cox回归模型分析显示，病变动脉数是术后咯血复发的独立影响因素。B组复发风险更高，为A组的1.742倍（95%CI=1.307～2.321，P＜0.05），说明复发与NBSA供血相关。 结论?SAE治疗咯血有效。NBSA参与血供越多，不完全栓塞概率就越高，复发可能性就越大。重视术中发现NBSA并予栓塞，对提高咯血止血效果有重要意义。

参考文献/References:

1 Panda A, Bhalla AS, Goyal A. Bronchial artery embolization in hemoptysis: a systematic reciewJ. Diagn Interv Radiol, 2017, 23:307-317 .
2 伍筱梅，梁荣光，赖?清，等.肱-腋动脉体外临时阻断后行锁骨下动脉造影对判断咯血来源血管的价值J. 中华放射学杂志， 2011，45:670-673.
3 伍筱梅，叶丽芳，任医民.多层螺旋CT血管成像诊断体-肺循环分流的价值J.介入放射学杂志， 2014, 23:667-671.
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5 Fruchter O, Schneer S, Rusanov V, et al. Bronchial artery embolization for massive hemoptysis: long-term follow-upJ. Asian Cardiovasc Thorac Ann, 2015, 23:55-60.
6 Walker CM, Rosado-de-Christenson ML, Martinez-Jimenez S, et al. Bronchial arteries:?anatomy, function, hypertrophy, and?anomaliesJ.Radiographics, 2015, 35:32-49.
7 温?宇，伍筱梅，朱巧洪.支气管动脉128层螺旋CT造影分析J. 中华介入放射学电子杂志， 2013，1:135-139.


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备注/Memo

备注/Memo:
（收稿日期：2019-02-26）
（本文编辑：边佶）
更新日期/Last Update: 2020-02-08