摘要
目的 探讨下消化道非肿瘤性出血的DSA诊断和介入治疗的临床价值。方法 经DSA诊断的下消化道非肿瘤性出血 2 1例 ,8例采用明胶海绵栓塞 ,13例采用血管加压素灌注。结果 出血原因为肠血管发育不良 14例 ,结肠憩室 2例 ,原因不明 5例。全部病例获得止血。未出现严重并发症。随访 5～ 74个月 ,4例肠血管发育不良出血复发。结论 DSA对下消化道非肿瘤性出血的诊断很有价值。介入方法对其治疗安全有效 。
Objective To study the clinical value of DSA diagnosis and interventional therapy for non-neoplastic lower digestive tract hemorrhage. Methods Non-neoplastic lower digestive tract hemorrhage were diagnosed in 21 patients. Eight cases underwent embolization with gelfoam and 13 cases with infusion of pitressin. Results Intestinal angiodysplasia was found in 14 cases, colonic diverticulum in 2 and hemorrhage of unknown cause in 5. Hemorrhage in all patients was stopped after the interventional therapy with no serious complications. During the follow-up of 25～74 months, intestinal angiodysplasia bleeding recurred in 4 patients. Conclusions DSA is very helpful in the diagnosis of non-neoplastic lower digestive tract hemorrhage and interventional therapy is safe and effective for the stoppage of the bleeding.
出处
《介入放射学杂志》
CSCD
2005年第1期46-47,共2页
Journal of Interventional Radiology
