动脉造影栓塞对急性消化道出血的诊疗价值

发布时间：2018-07-15 20:02

【摘要】：目的分析消化道出血的动脉造影表现,探讨经动脉栓塞治疗消化道出血的价值以及影响因素。方法回顾性分析52例消化道出血患者的资料。分析消化道出血的病因,相应的动脉造影表现;分析对于不同类型血管栓塞剂的选择及其治疗的技术成功率、临床成功率、复发率及并发症发生率。结果52例患者中DSA造影阳性者占63.5%(33/52),18例表现为直接阳性征象,11例表现为间接阳性征象,4例表现兼有直接和间接阳性征象。33例造影阳性患者中24例行经动脉栓塞治疗,技术成功率为91.7%(22/24),临床成功率为62.5%(15/24),复发率为37.5%(9/24)。结论经动脉造影及栓塞能快速发现出血部位并有效控制出血,是急性消化道动脉性出血的有效诊疗手段;出血的病因、造影表现和出血动脉多样,其诊断率、栓塞的技术成功率和临床成功率的影响因素较多。
[Abstract]:Objective to analyze the arteriographic manifestations of gastrointestinal hemorrhage and to explore the value and influencing factors of transarterial embolization in the treatment of gastrointestinal hemorrhage. Methods the data of 52 cases of gastrointestinal hemorrhage were analyzed retrospectively. The etiology and arteriography of gastrointestinal hemorrhage were analyzed, and the technical success rate, clinical success rate, recurrence rate and complication rate of different types of vascular embolization agents were analyzed. Results among 52 cases, 63.5% (33 / 52) of 52 patients were positive for DSA, 18 cases showed direct positive signs, 11 cases showed indirect positive signs, 4 cases had both direct and indirect positive signs. 24 of 33 patients with positive DSA were treated with transarterial embolization. The technical success rate was 91.7% (22 / 24), the clinical success rate was 62.5% (15 / 24), and the recurrence rate was 37.5% (9 / 24). Conclusion Transarteriography and embolization are effective methods for diagnosis and treatment of acute gastrointestinal arterial hemorrhage. The technical success rate and clinical success rate of embolism are many factors.
【作者单位】：第二军医大学附属长海医院介入治疗科;第二军医大学附属长海医院影像医学科;
【分类号】：R573.2

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