介入治疗上消化道重建术后急性出血的疗效观察

Clinical effect of interventional therapy for the treatment of acute hemorrhage after upper digestive tract reconstruction

目的：分析介入治疗在上消化道重建术后急性出血的临床效果。方法2013年1月至2015年12月对本院22例上消化道重建术后急性出血的患者进行血管栓塞或支架成形的介入止血治疗，其中胃十二指肠动脉出血11例，胰十二指肠下动脉出血5例，胰背动脉出血3例，肝总动脉出血2例，胃右动脉出血1例。结果22例患者介入止血治疗均获成功，止血成功率100%，无一例死亡，术后随访5~24个月无复发出血。结论介入治疗上消化道重建术后急性出血具有安全、微创、止血迅速、并发症少、恢复快的优点。

Objective To explore the clinical effect of interventional therapy for acute hemorrhage after upper digestive tract reconstruction. Methods The clinical data of 22 patients with acute hemorrhage after upper digestive tract reconstruction, who accepted intervention therapy between Jan 2013 and Dec 2015, was analyzed retrospectively. The bleeding lesions included gastroduodenal artery （11 cases）, inferior pancreaticoduodenal artery （5 cases）, dorsal pancreatic artery （3 cases）, hepatic general artery （2 cases）, right gastric artery （one case）. Results All of 22 patients stopped bleeding after interventional therapy of the responsible artery with the success rate of hemostasis being 100%. No complications and no recurring hemorrhage occurred in the follow-up 5 to 24 months. Conclusion Interventional therapy is quite effective for acute hemorrhage after upper digestive tract reconstruction and has the advantages of safety, small trauma, effectiveness, and good prognosis.