动脉造影及介入治疗对于消化道出血的价值

Evaluation of Arteriography in Diagnosis and Interventional Therapy of Gastrointestinal Bleeding

目的:评价动脉造影对于消化道出血诊断价值及介入治疗疗效价值。方法:33例消化道出血病例中,经动脉血管造影26例发现出血动脉。9例手术治疗,22例进行介入治疗,其中16例灌注血管加压素或止血药,6例进行栓塞治疗。结果:随访2～6个月,3例复发出血,9例手术切除,2例内科治疗,22例介入治疗。结论:非静脉曲张性消化道出血行动脉造影,可发现内镜和其他检查方法不能发现的出血部位,动脉造影是上述检查的重要补充,同时介入治疗是一种安全、微创、有效的治疗方法,亦能为手术做好准确的定位准备。

Purpose：To investigate the value of arteriography in the diagnosis and interventional therapy of gastrointestinal bleeding.Methods：Thanscatheter arteriography was performed in 33 cases of gastrointestinal bleeding,26 cases have definite bleeding arteries. Nine cases were performed surgical treatment and 22 cases were used interventional therapy including 16 cases with infusion of pitressin or hemostatic; 6 cases with arterial embolization.Results：Up to 2-6 months,3 cases had recurrent hemorrhage; 9 cases were performed surgical treatment; 1 case had medical treatment; 22 cases used interventional therapy.Conclusion：Arteriography is performed in gastrointestinal bleeding without varicosis.And the site of bleeding undetermined by the endoscopy and other examinations can be found. Arteriography is an important supplement to the above examinations.The interventional therapy in the gastrointestinal bleeding is a safe,minimally invasive,effective treatment and can take the preparation for surgical treatment.