摘要
目的探讨血管栓塞术在Dieulafoy病临床诊治中的应用价值。方法回顾性分析我院2005—2009年收治的42例Dieulafoy病所致上消化道出血患者的临床诊治资料。结果 42例患者中,33例术前行胃镜检查确诊胃Dieulafoy病,5例术前胃镜检查未见异常而经数字减影血管造影确诊,4例因病情危重术前无法行胃镜检查而直接行血管造影栓塞术。患者均行血管造影栓塞术,其中38例行1次血管栓塞术,4例行2次血管栓塞术,无一例行外科手术。止血成功率为100%,平均住院时间为7.5d,均无严重并发症发生。结论血管造影栓塞术在Dieulafoy病所致上消化道出血的诊治中有极为重要的作用,建议将血管栓塞术作为Dieulafoy病的首选治疗方法。
Objective To explore the clinical application value of angiography embolization in Dieulafoy disease.Methods Analyze retrospectively the clinical data of 42 patients accepted by our hospital from 2005 to 2009 who were with upper gastrointestinal bleeding caused by dieulafoy disease.Results Of the 42 cases,33 were diagnosed with Dieulafoy＇s disease by gastroscopy before angiography embolization.5 cases were diagnosed by DSA（digital subtraction angiography） for having no exceptionally discovery with gastroscopy.4 cases were treated by angiography embolization directly for their conditions are too severe to have gastroscopy.All the cases had angiography embolization,among which 38 cases had once and 4 cases twice,and no case had surgical operation.Success rate of hemostasis was 100% and the average hospital stay was 7.5 days,with no patients having serious complications.Conclusion Angiographic embolization is of great importance in the diagnosis and treatment of upper gastrointestinal bleeding caused by Dieulafoy＇s disease.We suggested to take the intravascular embolization asfirst-line treatment of Dieulafoy＇s disease.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第30期3411-3414,共4页
Chinese General Practice
关键词
DIEULAFOY病
胃肠出血
栓塞
治疗性
诊断
治疗
Dieulafoy＇s disease
Gastrointestinal hemorrhage
Embolization
therapeutic
Diagnosis
Therapy
