摘要
目的探讨血管造影和栓塞在消化道出血诊治中的价值。方法分析总结21例消化道出血患者的阳性血管造影表现,和6例栓塞治疗的经验。结果21例血管造影有阳性发现的病例当中,动静脉畸形、血管发育不良9例,小肠占位3例,Dieulafoy病2例,PTCD术后胆道出血2例,小肠吻合口出血、溃疡性结肠炎、Meckel憩室出血、结节性多动脉炎、胰十二指肠下动脉假性动脉瘤各1例,21例中表现为造影剂外溢的5例(23%)。6例行栓塞治疗的患者均成功止血,随访1～13个月,未发生缺血坏死并发症。结论在消化道出血诊治中,血管造影和栓塞是一种安全、有效的方法。
Objective To evaluate the usefulness of transcatheter angiography and embolization in diagnosis and treatment of gastrointestinal bleeding.Methods The positive angiographic signs were analyzed and summarized in 21 cases of gastrointestinal bleeding.Transcatheter embolization was performed in 6 cases.Results In these 21 cases with positive angiographic findings,arteriovenous malformation（AVM）or angiodysplasia were found in 9 cases,small bowel neoplasms in 3 cases,Dieulafoy disease in 2 cases,post-PTCD hemobilia in 2 cases,anastomotic bleeding in 1 case,ulcerative colitis in 1 case,Meckel＇s diverticulum in 1 case,polyarteritis nodosa in 1 case,pseudoaneurysm of the inferior pancreaticoduodenal artery in 1 case.Contrast extravasation was observed in 5 cases（23%）.Bleeding was arrested in the 6 cases which transcatheter embolization was performed,no ischemic complications occurred during 1 to 13 month follow-up period.Conclusion Transcatheter angiography and embolization is a safe and effective way in diagnosis and treatment of gastrointestinal bleeding.
出处
《中国医学影像技术》
CSCD
北大核心
2008年第6期920-923,共4页
Chinese Journal of Medical Imaging Technology
关键词
消化道出血
血管造影术
栓塞
治疗性
Gastrointestinal bleeding,Angiography,Embolization,therapeutic
