[1]严 倩,向军益,周 兵.氰基丙烯酸正丁酯与栓塞微球治疗大咯血对比研究 [J].介入放射学杂志,2016,(12):1054-1057.
 YAN Qian,XIANG Jun- yi,ZHOU Bing.Bronchial artery embolization for the treatment of massive hemoptysis: a comparison study between N- butyl- 2- cyanoacrylate and embosphere[J].journal interventional radiology,2016,(12):1054-1057.
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氰基丙烯酸正丁酯与栓塞微球治疗大咯血对比研究 ()

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

卷:
期数:
2016年12期
页码:
1054-1057
栏目:
血管介入
出版日期:
2016-12-25

文章信息/Info

Title:
Bronchial artery embolization for the treatment of massive hemoptysis: a comparison study between N- butyl- 2- cyanoacrylate and embosphere
作者:
严 倩 向军益 周 兵
Author(s):
YAN Qian XIANG Jun- yi ZHOU Bing
Department of Emergency, Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang Province 310015, China.
关键词:
【关键词】 α-氰基丙烯酸正丁酯 栓塞微球 咯血 脊髓功能障碍
文献标志码:
A
摘要:
【摘要】 目的 对比α- 氰基丙烯酸正丁酯(NBCA)胶和三丙烯明胶微球(Embosphere)在支气管动脉栓塞术(BAE)治疗肺部大咯血中的安全性和有效性。方法 收集2010年1月至2014年12月采用BAE术治疗并有完整随访资料的肺部大咯血患者,其中NBCA胶治疗43例(NBCA组),栓塞微球治疗80例(栓塞微球组),对比两组患者BAE技术成功率和临床止血率、并发症发生率、咯血复发率,并对临床结果进行分析。结果 NBCA组和栓塞微球组BAE技术成功率分别为95.3%(41/43)、96.3%(77/80)(P=0.809);临床止血率分别为93.0%(40/43)、92.5%(73/80)(P=0.639);并发症发生率分别为41.7%(18/43)、35.0%(28/80)(P=0.452),绝大部分为术后胸痛;咯血复发率分别为16.3%(7/43)、28.8%(23/80)(P<0.05);两组中各有1例发生脊髓功能障碍,经内科治疗后康复。两组患者Kaplan- Meier生存分析比较结果显示,差异有显著统计学意义(χ2=6.523,P=0.041)。结论 与栓塞微球相比,NBCA胶治疗肺部大咯血的安全性和有效性相当,但能够降低远期复发率。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2016-04-04)
(本文编辑:边 佶)
更新日期/Last Update: 2016-12-15