[1]顾俊鹏,顾 朋,迪力木拉提?巴吾东,等. 大咯血的介入治疗及复发的影响因素分析[J].介入放射学杂志,2012,(11):952-957.
 GU Jun? peng,GU Peng,DilimulatiBawudong,et al. The interventional management of massive hemoptysis and the analysis of factors influencing its recurrence[J].journal interventional radiology,2012,(11):952-957.
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 大咯血的介入治疗及复发的影响因素分析 ()

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

卷:
期数:
2012年11期
页码:
952-957
栏目:
临床研究
出版日期:
2012-11-28

文章信息/Info

Title:
 The interventional management of massive hemoptysis and the analysis of factors influencing its recurrence
作者:
 顾俊鹏 顾 朋 迪力木拉提?巴吾东 许晓冬 张海潇 任伟新
Author(s):
 GU Jun?蛳 peng GU Peng Dilimulati?Bawudong XU Xiao?蛳 dong ZHANG Hai?蛳 xiao REN Wei?蛳 xin.
 Department of Interventional Radiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
关键词:
 【关键词】 大咯血 介入治疗 血管栓塞 复发 影响因素
文献标志码:
A
摘要:
 【摘要】 目的 评价大咯血不同血供方式、栓塞方法的疗效及复发因素分析。方法 120例大咯血患者行支气管动脉及临近体循环动脉造影,超选择性插管栓塞出血动脉。按供血方式分为单支动脉供血(35例)和多支动脉供血(85例)2组;按栓塞方法分为单纯明胶海绵栓塞(59例)、单纯PVA颗粒栓塞(20例)、PVA颗粒加明胶海绵栓塞(41例)3组,分别行χ2检验,评价各组的疗效。根据治疗效果分为复发(35例)与未复发(85例)为2组,对供血方式和不同栓塞方法进行分析,建立Logistic和Cox回归模型,评价各因素对复发的影响程度。结果 120例患者行介入栓塞治疗后咯血均完全停止,技术成功率为100%。随访1 ~ 7年,35例复发,总有效率为70.8%。其中单支动脉供血4例复发,复发率11.4%;多支动脉供血31例复发,复发率36.5%。单纯明胶海绵组26例复发,复发率为44.1%;单纯PVA颗粒组3例复发,复发率为15.0%;PVA颗粒加明胶海绵组6例复发,复发率为14.6%。复发率差异有统计学意义(P < 0.05)。单纯明胶海绵栓塞后复发时间最短(P < 0.05);单纯PVA颗粒栓塞及PVA颗粒加明胶海绵栓塞复发时间较长,但两组之间差异无统计学意义(P > 0.05)。结论 单纯明胶海绵栓塞和多支动脉供血更容易导致介入栓塞治疗后复发且时间较短;单纯PVA、PVA加明胶海绵栓塞后疗效较好且复发间隔时间较长。

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备注/Memo

备注/Memo:
 (收稿日期:2012-03-20)
更新日期/Last Update: