经导管栓塞治疗急性消化道出血52例临床分析

Transcatheter embolotherapy for acute gastrointestinal hemorrhage:a clinical analysis of 52 cases

目的讨论经导管栓塞治疗急性消化道动脉性出血的临床疗效。方法对52例消化道出血患者行动脉造影并作动脉栓塞止血治疗,观察手术成功率,术后30 d内再次出血率及并发症等。结果52例患者中49例成功实施手术,手术成功率为94.2%;14例患者术后30 d内再次出现消化道出血,术后再出血率26.9%,其中6例患者给予保守治疗,5例患者动脉造影后再次栓塞,2例行外科手术治疗,1例行内镜止血治疗。结论经导管栓塞治疗急性动脉性消化道出血安全、有效。

Objective To evaluate the clinical efficacy of transcatheter arterial embolization in treating acute arterial hemorrhage of digestive tract. Methods Angiography and subsequent arterial embolization were performed in 52 patients with gastrointestinal hemorrhage. The procedure success rate, the incidence of recurrent bleeding within 30 clays after the treatment and the complications were analyzed. Results Of the 52 patients, successful interventional embolization was accomplished in 49, with a success rate of 94.2%. Recurrent bleeding occurring within 30 clays after the treatment was seen in 14 patients, the incidence was 26.9%. Of the 14 patients, conservative treatment was given to 6, arterial embolization was employed again in 5, surgery was carried out in 2 and endoscopic hemostasis was adopted in one. Conclusion For the treatment of acute gastrointestinal bleeding, transcatheter arterial embolization is safe and effective. （J Intervent Radiol, 2013, 22： 860-862）