腹部肿瘤术后出血的血管造影表现及栓塞治疗

发布时间：2018-04-08 17:29

本文选题：腹部　切入点：肿瘤　出处：《中国介入影像与治疗学》2017年03期

【摘要】：目的探讨腹部肿瘤外科术后出血的血管造影表现,评价介入栓塞治疗的安全性和有效性。方法回顾分析腹部肿瘤外科术后出血69例患者的临床资料、血管造影表现和栓塞治疗情况,评价栓塞治疗效果、休克指数1.0、1.0～1.5、1.5时血管造影和栓塞止血情况及并发症情况。结果对69例共进行88例次血管造影,血管造影阳性率75.00%(66/88),行介入栓塞治疗67例次,止血成功49例次(49/67,73.13%);休克指数1.0～1.5时,血管造影阳性率达89.19%(33/37),栓塞止血成功率77.42%(24/31)。8例患者介入止血术后1个月内死亡。结论介入栓塞止血治疗安全、有效,可作为腹部肿瘤术后出血的首选治疗方法。止血时应关注休克指数,尽早选择血管造影和栓塞治疗;在血管造影为阴性结果时,经验性栓塞治疗并不能为患者带来更大的获益。
[Abstract]:Objective to evaluate the safety and efficacy of interventional embolization in patients with abdominal tumor bleeding.Methods the clinical data, angiographic findings and embolization treatment of 69 patients with postoperative bleeding after abdominal tumor surgery were retrospectively analyzed. The effect of embolization was evaluated. The hemostasis and hemostasis of angiogram and embolization at 1.0 and 1.5 times of shock index were evaluated as well as complications.Results A total of 88 angiograms were performed in 69 cases. The positive rate of angiography was 75.00%, 66 / 88%, 67 times of interventional embolization, 49 cases of successful hemostasis (49 / 67) 73.13%, shock index 1.0 ~ 1.5,The positive rate of angiography was 89.19% and 33 / 37% respectively. The successful rate of embolization was 77.42% and 24% 31 / 8 cases died within one month after interventional hemostasis.Conclusion interventional embolization hemostasis is safe and effective and can be used as the first choice for postoperative bleeding of abdominal tumor.When hemostasis should pay attention to shock index, choose angiography and embolization as early as possible, when angiography is negative, empirical embolization can not bring more benefit to patients.
【作者单位】：北京大学肿瘤医院暨北京市肿瘤防治研究所介入治疗科恶性肿瘤发病机制及转化研究教育部重点实验室;
【分类号】：R730.5

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