Dissertation > Excellent graduate degree dissertation topics show

Application of Selective Bronchialartery Embolization on Treating Severe or Repeated Hemoptysis

Author: TuLi
Tutor: WenGuiLan
School: Nanchang University
Course: Internal Medicine
Keywords: Hemoptysis Bronchial artery Embolism
CLC: R56
Type: Master's thesis
Year: 2009
Downloads: 33
Quote: 0
Read: Download Dissertation

Abstract


Objective: To evaluate the efficacy and clinical value of the treatment of massive hemoptysis of bronchial artery embolization (Bronchial Artery Embolization, BAE) , and further analysis of the of different embolic material impact on the clinical efficacy of BAE . MATERIALS AND METHODS: September 2005 to September 2008 , 42 cases of massive hemoptysis patients in our hospital BAE treatment , all patients using the Seldinger technique through the femoral artery puncture , bronchial arteriography , angiography clear bleeding blood supply vascular select the gelatin sponge or the joint application rims and gelatin sponge particles for embolization therapy . Divided into two groups : A group ( gelatin sponge group ) , B group ( joint coils , gelatin sponge group ) based on the use of embolic material . Of all the patients were followed up for at least 6 months , and observed two groups of patients had an immediate , recent , long-term efficacy . Results: The group of 42 patients have vascular abnormalities , three cases of angiographic manifestations suggestive of active bleeding , direct signs of contrast agent extravasation ; 39 cases angiography performance prompted the vascular lesion exception: the bronchial artery (Bronchial artery BA ) tortuous expansion , branch reticular plexiform disorder distribution . All 42 patients successfully of embolic lesions bronchial artery technical success rate was 100 % . A , B two groups of patients with bronchial artery embolization immediate hemostasis results were satisfactory immediate hemostasis total effective rate was 100% . Patients were followed up for 6 months to 3 years , after the A group ( gelatin sponge group ) of 23 patients with bronchial artery embolization recent bleeding the total effective rate was 95.7% in the long-term hemostasis total effective rate was 73.9% ; B group ( joint spring steel recently, the circle , gelatin sponge group ) of 19 patients with bronchial artery embolization , the total effective rate was 100% in the long-term hemostasis . A total of six cases of relapse are simple application of the gelatin sponge selective bronchial artery embolization , including five cases of recurrence after conservative treatment to stop bleeding after 1 exception surgery to stop bleeding . Conclusion : BAE treatment of hemoptysis is an efficient, safe and easy treatment , patients were followed up by statistical analysis to prove coils and gelatin sponge particles combined with bronchial artery embolization joint than the application of pure gelatin sponge embolization can significantly lower hemoptysis recurrence rate . Coils and gelatin sponge particles combined with bronchial artery embolization in the treatment of massive hemoptysis worth spreading .

Related Dissertations

  1. Percutaneous cardiopulmonary support the treatment of swine Efficacy of fulminant fat embolism syndrome,R614
  2. Curettage uterine artery embolization joint applied research for the treatment of cervical pregnancy,R714.22
  3. The Diagnostic Research of CT Pulmonary Angiography for Right Ventricular Dysfunction in Acute Pulmonary Embolism,R541.6
  4. Clinical Value of Inferior Vena Caval Filter Insertion under CDFI Guidance Through Right Internal Jugular Vein,R445.1
  5. Folic acid , B vitamins on homocysteine ??-related pulmonary embolism intervention study,R563.5
  6. Correlation of Hyperhomocysteimemia and Pulmonary Embolism with Empirical Study,R563.5
  7. The Preparation, Characterization and Biological Evaluation of Concentrated PNIP/BMA Nanogel Dispersions for Interventional Therapy of Liver Cancer,R735.7
  8. An Animal Model of Acute Submassive Pulmonary Embolism: Its Establishment and Interventional Treatment with Local Thrombolysis,R-332
  9. Clinical Features and Prognosis Analysis in 513 Patients of Pulmonary Thromboembolism,R563.5
  10. Observation the Histological Structure and Distrbution of Bronchial Arteries of the in Different Age Yak(Bos Grunniens),S823.85
  11. Clinical score , D- dimer testing for the diagnosis of acute pulmonary embolism,R563.5
  12. D-Dimer in Acute Pulmonary Embolism Early Diagnosis and Early Treatment of the Value,R563.5
  13. The clinical application of radionuclide lung ventilation / perfusion imaging in the diagnosis and treatment of pulmonary embolism,R817.4
  14. Esophageal Cancer, Lung Cancer, Preoperative Plasma D-dimer Levels After the Study,R734.2
  15. One Case of Pregnancy with Left Ventricular Noncompaction Died of Cerebral Infarction After Cesarean Section for Analysis,R719.8;R743.3
  16. Pulmonary Embolism Misdiagnosis in China: A Literature Review (2001 to 2008),R563.5
  17. Inferior Vena Cava Filters for the Prevention of Pulmonary Embolism: A Systematic Review and Meta-analysis,R563.5
  18. Vitro Appraisal Experiment of Pulmonary Embolism Risk for Retrieval of Inferior Vena Cava Filter Which Catched Thrombus,R563.5
  19. The Analysis for the Reasons and the Clinical Effect of Peroperative Gastrointestinal Recurrent Hemorrhage after Arterial Embolism,R57
  20. Clinical Manifestations of 12 Cases of Chronic Obstructive Pulmonary Disease Complicated with Acute Pulmonary Thromboembolism,R563.9

CLC: > Medicine, health > Internal Medicine > Respiratory system and chest diseases
© 2012 www.DissertationTopic.Net  Mobile