血管腔内技术在腹腔脏器急性动脉出血中的应用
发布时间：2018-11-19 12:32
【摘要】：目的探讨血管腔内技术在腹腔脏器急性动脉出血中的应用价值。方法对159例次急性消化道或腹腔急性出血的患者行腹腔动脉造影检查,对其中阳性且无治疗禁忌的40例次置入弹簧圈、注入明胶海绵颗粒、放置覆膜支架等方式行腔内止血治疗。通过术后造影、症状、生命体征、实验室检查结果判断止血是否成功。结果 47例次(47/159,29.56%)造影阳性;外科术后出血77例次,造影阳性率37.66%(29/77),非外科术后消化道出血82例次,造影阳性率21.95%(18/82),两者差异有统计学意义(P0.05)。造影阳性患者共进行40例次介入治疗,其中置入弹簧圈33例次,注入明胶海绵颗粒4例次,置入覆膜支架3例次,腔内止血成功率为100%(40/40)。结论血管腔内技术是治疗腹腔脏器急性动脉出血的可靠手段。
[Abstract]:Objective to evaluate the value of endovascular technique in acute arterial hemorrhage of abdominal viscera. Methods A total of 159 patients with acute gastrointestinal or peritoneal hemorrhage were examined by celiac arteriography. 40 patients with positive and no contraindication were implanted with coils and injected with gelatin sponge granules. Endovascular hemostasis was performed by placement of covered stent. The success of hemostasis was judged by postoperative angiography, symptoms, vital signs and laboratory findings. Results 47 cases (47 / 159P 29.56%) were positive. The positive rate of angiography was 37.66% (29 / 77) and that of non-surgical gastrointestinal bleeding was 21.95% (18 / 82). The difference was statistically significant (P0.05). A total of 40 interventional treatments were performed in 40 patients with positive angiography, of which 33 were placed with coils, 4 were injected with gelatin sponge granules, and 3 were implanted with coated stents. The success rate of endovascular hemostasis was 100% (40 / 40). Conclusion Endovascular technique is a reliable method for the treatment of acute arterial hemorrhage in abdominal viscera.
【作者单位】： 北京大学第一医院介入血管外科;
【分类号】：R654.3
本文编号：2342316
[Abstract]:Objective to evaluate the value of endovascular technique in acute arterial hemorrhage of abdominal viscera. Methods A total of 159 patients with acute gastrointestinal or peritoneal hemorrhage were examined by celiac arteriography. 40 patients with positive and no contraindication were implanted with coils and injected with gelatin sponge granules. Endovascular hemostasis was performed by placement of covered stent. The success of hemostasis was judged by postoperative angiography, symptoms, vital signs and laboratory findings. Results 47 cases (47 / 159P 29.56%) were positive. The positive rate of angiography was 37.66% (29 / 77) and that of non-surgical gastrointestinal bleeding was 21.95% (18 / 82). The difference was statistically significant (P0.05). A total of 40 interventional treatments were performed in 40 patients with positive angiography, of which 33 were placed with coils, 4 were injected with gelatin sponge granules, and 3 were implanted with coated stents. The success rate of endovascular hemostasis was 100% (40 / 40). Conclusion Endovascular technique is a reliable method for the treatment of acute arterial hemorrhage in abdominal viscera.
【作者单位】： 北京大学第一医院介入血管外科;
【分类号】：R654.3
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