介入栓塞治疗胆道大出血

Transcatheter embolization for massive hemobilia

目的 :评价血管造影和栓塞对胆道大出血的诊断及治疗效果。方法 :过去 8年间收治胆道大出血6例 ,均采用腹腔动脉和选择性肝右或左动脉造影 ,随即行肝动脉分支出血点近端栓塞。结果 :6例患者经这种方法治疗 ,出血立即停止。其中有一例患者由于再出血而行第二次栓塞。所有患者均存活 ,随访半年 - 5年无再出血。结论 :胆道大出血行选择性肝动脉造影及栓塞是安全有效的诊断及治疗方法。与手术比较 。

Objective:To evaluate the effectiveness of angiography and embolization in diagnosis and treatment of massive hemobilia.Methods:Over a 8-year period,6 patients with massive hemobilia underwent emergency celiac and selective right or left hepatic artery angiography.All were treated by embolization of the hepatioartery bronch proximal to the bleeding point.Results:Six patients were treated successfully by this method,hemorrhage was stopped immediately.One of them was embolized two times for bleeding again.All patients are alive and well at follow-up for 0.5～-5 years.Conclusion:Selective hepatic angiography and embolization for massive hemobilia is a safe and efficient diagnostic and therapeutic method.Embolization offers the obvious advantage of minimally invase treatment in unstable patient over surgery.