肝动脉栓塞治疗医源性胆道出血的有效性与安全性分析

Analysis of effectiveness and safety by hepatic arterial embolism in the treatment of iatrogenic hemobilia

目的探讨选择性肝动脉栓塞治疗医源性胆道出血的有效性和安全性。方法回顾性分析8例进行选择性肝动脉栓塞治疗的医源性胆道出血患者的临床资料。结果 8例患者在肝动脉造影时均表现为肝动脉假性动脉瘤形成,其中4例可见胆道显影。所有患者进行了肝动脉栓塞治疗,均一次栓塞成功,随访中未再发生出血。结论选择性肝动脉栓塞是治疗医源性胆道出血安全、有效的方法。

Objective To investigate effectiveness and safety by hepatic arterial embolism in the treatment of iatrogenic hemobilia. Methods A retrospective analysis was made on clinical data of 8 iatrogenic hemobilia patients, who received selective hepatic arterial embolism for treatment. Results All the 8 cases showed hepatic artery pseudoaneurysm in hepatic arteriography, and 4 cases of them with visible biliary tract imaging. All cases received single successful hepatic arterial embolism, without recurrent hemorrhage during follow-up. Conclusion Selective hepatic arterial embolism acts as a safe and effective way in treating iatrogenic hemobilia.