摘要
目的:探讨介入栓塞治疗消化道出血的安全性和有效性。方法:对15例消化道出血病例进行数字减影血管造影,并对13例发现出血阳性征象者进行栓塞治疗。结果:10例1次栓塞成功止血,1例两次栓塞成功止血,止血率84.6%,再次栓塞率7.7%;2例栓塞后48 h内再发出血,再出血率15.4%,其中1例行外科手术;随访30 d无肠坏死等并发症。结论:介入栓塞治疗消化道出血是一种可行的,安全的,有效的治疗方法。
Objective:To assess the efficacy and safety of interventional embolization in managing gastrointestinal bleeding.Methods:15 patients with gastrointestinal bleeding underwent digital subtraction angiography(DSA).When positive signs of bleeding appeared,13 patients proceed to embolization.Results:10 cases were successfully treated by primary embolization.Only 1 case demonstrated rebleeding and was reembolized.The hemostasis rate was 84.6%,repeated embolization rate was 7.7%.2 patients had clinical rebleeding after intervention within 48 h.The rebleeding rate was 15.4%.The 1 failed case was treated by surgical operation.No intestinal ischaemia was observed in 30 d.Conclusions:Interventional embolization is a viable,safe,and effctive management for gastrointestinal bleeding.
作者
陆宗海
朱虎
孙功能
LU Zong-hai;ZHU Hu;UN Gong-neng(Department of Gastroenterology,Chaohu Hospital,Anhui Medical University;Interventional Institute of Chaohu Hospital,Anhui Medical University,Chaohu 238000,Anhui,China)
出处
《川北医学院学报》
CAS
2018年第1期101-104,共4页
Journal of North Sichuan Medical College
关键词
消化道出血
数字减影血管造影
介入栓塞
Gastrointestinal bleeding
Digital subtraction angiography
Interventional embolization