支气管动脉栓塞术治疗肺结核咯血的有效性及安全性分析

摘要

目的：评价支气管动脉栓塞术(BAE)治疗肺结核咯血的有效性和安全性。方法：选取笔者所在科室2011年7月-2014年7月接受治疗的76例肺结核咯血患者，按照随机数字表法将其分为治疗组36例和对照组40例。治疗组采用BAE治疗，对照组采用一般止血药物治疗。观察比较两组患者的治疗效果及并发症发生情况。结果：经治疗后，治疗组的治疗总有效率88.89%明显高于对照组的70.00%，差异有统计学意义(字2=4.07，P<0.05)。治疗组并发症发生率为8.33%，对照组并发症发生率为5.00%，两组比较差异无统计学意义(字2=0.01， P>0.05)。结论：BAE治疗肺结核咯血不良反应发生率较低，疗效显著，安全性高，值得临床推广。%Objective:To evaluate the effective and security of bronchial artery embolization(BAE) in the treatment of pulmonary tuberculosis patients with hemoptysis.Method:76 pulmonary tuberculosis patients with hemoptysis in our hospital from July 2011 to July 2014 were selected,they were divided into the treatment group for 36 cases and the control group for 40 cases according to the random number table method.The treatment group was treated with bronchial artery embolization,the control group was treated with general hemostatic drug treatment.The treatment effect and occurrence of complications between the two groups were observed and compared.Result:The total effective rate of treatment group was 88.89%,which was significantly higher than 70.00%of the control group,the difference was statistically significant(χ²=4.07,P<0.05).The incidence rate of complication in treatment group was 8.33%,and the incidence rate of complication in control group was 5.00%,there was no significant difference in two groups (χ²=0.01,P>0.05).Conclusion:BAE is a good method for cases with pulmonary tuberculosis and hemoptysis,which has lower side effect,notable efficacy and high security,is worthy of clinical promotion.