摘要
目的探讨难治性消化道大出血血管造影诊断及介入治疗的临床应用价值。方法运用Seld inger技术,对22例经内、外科治疗未能止血的消化道大出血患者,进行选择性动脉造影、超选择血管内栓塞或垂体后叶素灌注术。结果本组动脉造影16例有异常表现,阳性率为72.7%;表现为造影剂外溢征(10例)、动脉瘤样改变(3例)、肿瘤(2例)、畸形血管团(1例)。17例经介入治疗后出血停止,止血成功率为77.3%。结论选择性动脉造影对难治性消化道大出血可明确病变部位、性质,阳性率较高,同时经导管栓塞或灌注可达到止血的目的。
Objective To investigate the clinical value of angiography and radiology interventional therapy in diagnosis and treatment of refractory gastrointestinal bleeding. Methods The study using Seldinger technic to do selective arterial angiography, superselective intravascular embolism or infusion of posterior pituitary hormon for 22 cases of refractory gastrointestinal bleeding after internal medicine and surgical treatment. Results The group of arterial angiography have 16 abnormal cases. The positive rate was 72.7%. They presented as outflow of angiography agent （ 10 cases）, arterial angioma changes （ 3 cases ）, tumor （ 2 cases） , malformation vascular mass （ 1 case）. Seventeen cases stopped bleeding after intrventional therpay. The hemostasis rate was 77.3%. Conclusion Selective arterial angiography has high positive rate at defining lesions and quality of severe gastrointestinal bleeding. Using interventional intravascular embolism or infusion can aim to stop bleeding at the same time.
出处
《中原医刊》
2006年第4期11-12,共2页
Central Plains Medical Journal
关键词
难治性
胃肠出血
介入治疗
血管造影术
Incurable
Gastrointestinal bleeding
Interventional therapy
Angiography
