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。
Objective To discuss the angiographic manifestations of hemorrhage after surgical resection of abdominal tumors, and to evaluate the safety and efficacy of interventional embolization therapy. Methods For 69 patients with postoperative hemorrhage, the clinical data, angiographic manifestations and embolization procedures were retrospective analyzed. The effect of embolization, angiography and embolization in different shock index and the complications were evaluated. Results A total of 69 patients underwent angiography 88 times, the positive rate was 75.00% （66/88）. All of 67 cases underwent embolization, hemostasis was successful in 49 cases （49/67, 73.13%）. When the shock index between 1.0 and 1.5, the angiographic positive rate reached 89.19% （33/37）, and the success rate of hemostasis was 77.42% （24/31）. A total of 8 patients died within one month after the intervention therapy. Conclusion Interventional embolization is a safe and effective technique for the treatment of hemorrhage after abdominal surgery. Angiography and embolization treatment should be as early as possible, and pay attention to the shock index. When the results of angiography is negative, embolization without purpose dose not lead to greater benefits for patients.
出处
《中国介入影像与治疗学》
CSCD
北大核心
2017年第3期143-146,共4页
Chinese Journal of Interventional Imaging and Therapy
关键词
腹部
肿瘤
外科手术
出血
血管造影术
介入治疗
Abdomen
Neoplasms
Surgical procedures, operative
Hemorrhage
Angiography
Interventionat therapy
