肺结核并大咯血68例血管介入栓塞治疗分析

目的 观察比较用支气管动脉立止血灌注加栓塞术与垂体后叶素联合立止血治疗肺结核并大咯血的疗效.方法 将68例肺结核并咯血患者随机分为对照组和治疗组,对照组采用垂体后叶素加立止血治疗;治疗组采用支气管动脉立止血灌注加栓塞术治疗,比较观察两组的疗效.结果 治疗组显效率为64.7%,对照组为20.6%;治疗组总有效率为88.2%,对照组为58.8%,两组比较差异有统计学意义（χ^2=7.556,P=0.006）.对照组不良反应发生率明显高于治疗组（χ^2=11.103,P=0.001）.结论 支气管动脉立止血灌注加栓塞术治疗肺结核并大咯血优于垂体后叶素联合立止血的治疗.

Vascular intervention embolization in the treatment of pulmonary tuberculosis patients with massive hemoptysis

Objective To observe the therapentic effect of bronchial artery embolization combined with reptilase perfusion and pituitrin combined with reptilase in treating pulmonary tuberculosis with massive hemoptysis. Methotis Sixty-eight pulmonary tuberculosis patients with massive hemoptysis were randomly divided into control group and treatment group. The control group was treated by pituitrin plus reptilase; the treatment group was treated with bronchial artery embolization combined with reptilase perfusion. Comparison of hemoptysis were observed. Results The marked effective rate was 64. 7% in the treatment group, that was 20. 6% in the control group ; total effective rate was 88.2% in treatment group; that was 58.8% in control group, the difference was statistical significant （χ^2= 7.556, P = 0. 006）. The incidence of adverse reactions in control group was significantly higher than that in the treatment group, the difference was significant （χ^2= 11. 103, P = 0. 001 ）. Conclusion The effect of bronchial artery embolization combined with reptilase perfusion was better than that in pituitrin and reptilase in the treatment of pulmonary tuberculosis with massive hemoptysis.