“夹心饼栓塞法”在消化道弓形动脉出血介入栓塞治疗中的应用研究

Application of “sandwich cake embolism method” in the treatment of interventional embolization in the treatment of segmental artery hemorrhage of digestive tract

目的探讨＂夹心饼栓塞法＂在消化道弓形动脉出血介入栓塞治疗中的应用效果。方法选取2013年1月~2015年12月我院收治的胃肠道弓形动脉出血患者80例,按照治疗方法不同分为观察组和对照组,各40例。观察组行＂夹心饼栓塞术＂,对照组使用单一的栓塞材料完成栓塞术,观察两组手术效果。结果观察组一次止血成功率为100.0%,无死亡患者,复发率为10.0%;对照组一次止血成功率为77.5%,死亡率为5.0%,复发率为22.5%,两组一次止血成功率、复发率、死亡率比较（P〈0.05）;观察组恢复良好者占90.0%,对照组占55.0%,组间比较,差异有统计学意义（P〈0.05）;对照组胰酶增高,早期再出血等并发症均明显高于观察组（P〈0.05）;观察组住院时间、住院费用均明显低于对照组（P〈0.05）。结论 ＂夹心饼栓塞法＂治疗消化道弓行动脉出血是有效的,较以往单纯栓塞极大的提高栓塞成功率及降低术后再出血率。

Objective To explore the application effect of ＂sandwich cake embolism method＂ in the treatment of interventional embolization in the treatment of segmental artery hemorrhage of digestive tract.Methods From January 2013 to December 2015,80 patients with gastrointestinal bleeding in the gastrointestinal tract were divided into observation group and control group according to the different method of treatment,40 cases in each group.The observation group was treated with ＂sandwich cake embolism＂,and the control group was treated with a single embolization material.The effect of the two groups of surgery was observed.Results In the observation group,a successful hemostasis rate was100%,no death patients,the recurrence rate was 10.0%;the control group a hemostatic success rate was 77.5%,with a mortality rate was 5.0%,recurrence rate was 22.5%,two groups of a hemostatic success rate,relapse rate, mortality was compared（P〈0.05）;the observation group recovered well accounted for 90.0%,control group was 55.0%,the difference was significant（P〈0.05）;pancreatin heighten,early rebleeding complication of control group were obviously higher than those of observation group（P〈0.05）;hospitalization time,cost of hospitalization of observation group were significantly lower than those of control group（P〈0.05）.Conclusion It is effective to treat the arterial hemorrhage of the digestive tract with the sandwich embolization method,which can improve the success rate of embolization and decrease the rate of postoperative bleeding.