摘要
目的探讨血管栓塞术在消化道出血中的应用价值。方法回顾性分析2004~2012年26例急性消化道出血接受血管内栓塞患者的临床资料。结果26例患者动脉造影表现为造影剂外溢17例,假性动脉瘤6例,血管畸形2例以及肿瘤染色1例。采用弹簧钢圈或者弹簧圈配合明胶海绵颗粒栓塞后,22例一次性止血成功,2例患者接受第二次栓塞治疗止血成功；2例患者转外科手术治疗。结论血管内栓塞术治疗消化道出血是安全的,有效的,是外科手术有效的补充措施。
Objective To explore the clinical application value of vascular embolization in gastrointestinal bleeding. Methods This study retrospectively analyzed 26 patients with gastrointestinal bleeding underwent vascular embolization between 2004 and 2012. Results Extravasation of contrast media on angiograms were observed in 17cases, while others included pseudoaneurysm 6 cases, arterio-venous shunt 2 case, and tumoral stain 1case. Hemostasis was attempted in 24 cases(including 2 case with secondary embolization) by embolization with coils or coils and gelfoam particles. Two cases were eventually turned to surgery. Conclusion Vascular embolization is a safe and effective emergency management for gastrointestinal bleeding, which can be used as an effective adjunct for surgery.
出处
《中国继续医学教育》
2013年第2期7-8,9,共3页
China Continuing Medical Education
关键词
消化道出血
栓塞
治疗性
Gastrointestinal bleeding
Embolization
Therapeutic
