动脉性消化道出血的血管造影诊断和介入治疗

Angiographic diagnosis and interventional therapy of gastrointestinal arterial hemorrhage

目的 评价动脉性消化道出血血管造影诊断和介入治疗的临床应用价值。方法 4 0例动脉性消化道出血 ,采用超选择性插管 ,行血管栓塞治疗。结果 血管造影诊断出血的阳性率为 92 5 % ( 37/ 4 0 ) ;血管造影和内镜检查符合率为 91 4 % ( 32 / 35 ) ;37例患者经介入治疗完全止血 2 7例 ( 72 9% ) ,止血不彻底 7例( 18 9% ) ,复发 3例 ( 8 1% ) ;患者血浆NO和ET 1含量明显高于正常对照组 ,治疗后低于治疗前 (P <0 0 5 ) ;介入治疗未见严重并发症。结论 血管造影和介入治疗对动脉性消化道出血有重要的诊断和治疗价值 ,栓塞治疗安全。

Objective To evaluate the clinical value of angiographic diagnosis and effectiveness of transcantheter embolotheraphy in gastrointestinal arterial hemorrhage.Methods Angiography was studied in 40 patients with gastrointestinal hemorrhage.The embolotheraphy was used after superselective cathethrization of the bleeding branch artery.Results The rate of positive was 92.5%(37/40);The rate of coincide of angiographic diagnosis was 91.4%(32/35) with endoscopy;The completely stop bleeding were 27 examples(72.8%),stop bleeding no quite were 7 examples(18.9%),relapse 3 examples(8.1%);The contents of plasma NO and ET 1 were obviously higher than the normal control;The contents of plasma NO and ET 1 after treatment were obviously lower than before treatment;The embolotherapy induced no severe compkications happened.Conclusion Angiography can be a valuable aid in the diagnosis and interventional treatment of gastrointestinal arterial hemorrhage.