摘要
目的 :探讨肠血管畸形的介入处理方法及临床意义。方法 :由DSA诊断的肠血管畸形 17例。 4例用明胶海绵对病变部位作了栓塞 ;13例用血管加压素作了动脉灌注并保留导管持续灌注 2 4h ,其中 3例造影导管作为定位标记 ,2 4h后外科手术。结果 :介入处理 2 4h后 ,全部患者便血停止。 4例栓塞者 ,出现明显肠缺血症状 1例。无肠梗死发生。随访0 .5～ 2 .5年 ,出血复发 2例。结论 :肠血管畸形介入处理方法包括栓塞、灌注和放置病变定位标记 ,这些方法简便易行、安全可靠 。
Objective:To study the way of interventional therapy of intestinal vascular malformations.Methods:17 cases of intestinal vascular malformations with hemorrhage were diagnosed by DSA via femoral artery,from which 4 cases were performed embolization with gelform,and the other 13 cases performed infusion of vasopressin for 24 hours via a catheter placed in position of the bleeding artery. 3 of them remained a catheter as a location mark and underwent a surgical operation 24 hours after radiological intervention.Results:Intestinal bleeding in all patients was stopped 24 hours after interventional treatwent.One of 4 patients following embolization demonstrated evident symptoms of intestinal ischemia,but no intestinal infarction.During the follow up of 0.5～2.5 years,hemorrhage recurred in 2 patients.Conclusion:Radiological intervention of intestinal vascular malformations such as arterial embolization,infusion and placement of a catheter as a location mark for further surgical operation is simple,safe and effective and this is the method of choice.
出处
《放射学实践》
2001年第3期172-174,共3页
Radiologic Practice
关键词
肠血管畸形
介入放射学
诊断
治疗
Mesenteric artery Vascular malformations Interventional radiology
