经导管动脉造影及栓塞在急性非静脉曲张性消化道出血诊疗中的应用

发布时间：2018-08-05 10:03

【摘要】：目的观察经导管动脉造影及栓塞在急性非静脉曲张性消化道出血诊疗中的应用效果。方法选择急性非静脉曲张性消化道出血患者173例,均行经导管动脉造影,对检查阳性者行栓塞治疗,并观察其应用情况。结果173例患者中动脉造影阳性100例(57.8%),其中上消化道出血31例、下消化道出血69例。100例造影阳性者中99例行经导管动脉栓塞治疗,技术成功率99.0%;89例获得临床成功,临床成功率为89.9%;术后随访再出血8例,并发肠道缺血1例。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,用于急性非静脉曲张性消化道出血的诊疗安全有效。
[Abstract]:Objective to observe the effect of transcatheter arteriography and embolization in diagnosis and treatment of acute non-varicose gastrointestinal hemorrhage. Methods 173 patients with acute non-varicose gastrointestinal bleeding were treated with transcatheter arterial angiography. Results among 173 patients, 100 cases (57.8%) were positive in arteriography. Among them, 31 cases were upper gastrointestinal hemorrhage and 69 cases were lower digestive tract hemorrhage. 99 cases were treated by transcatheter arterial embolization. The success rate was 99.0% (89 cases). The clinical success rate was 89. 9. 8 cases were followed up with rebleeding and 1 case with intestinal ischemia. Conclusion Transarteriography and embolization can quickly find the location of bleeding and control bleeding effectively, which is safe and effective for diagnosis and treatment of acute non-varicose gastrointestinal hemorrhage.
【作者单位】： 武警后勤学院附属医院;
【基金】：武警后勤学院创新团队基金项目(WHTD201310)
【分类号】：R573.2
，

本文编号：2165451