【摘要】：目的觀察經(jīng)導(dǎo)管動脈造影及栓塞在急性非靜脈曲張性消化道出血診療中的應(yīng)用效果。方法選擇急性非靜脈曲張性消化道出血患者173例,均行經(jīng)導(dǎo)管動脈造影,對檢查陽性者行栓塞治療,并觀察其應(yīng)用情況。結(jié)果173例患者中動脈造影陽性100例(57.8%),其中上消化道出血31例、下消化道出血69例。100例造影陽性者中99例行經(jīng)導(dǎo)管動脈栓塞治療,技術(shù)成功率99.0%;89例獲得臨床成功,臨床成功率為89.9%;術(shù)后隨訪再出血8例,并發(fā)腸道缺血1例。結(jié)論經(jīng)動脈造影及栓塞能快速發(fā)現(xiàn)出血部位并有效控制出血,用于急性非靜脈曲張性消化道出血的診療安全有效。
[Abstract]:Objective to observe the effect of transcatheter arteriography and embolization in diagnosis and treatment of acute non-varicose gastrointestinal hemorrhage. Methods 173 patients with acute non-varicose gastrointestinal bleeding were treated with transcatheter arterial angiography. Results among 173 patients, 100 cases (57.8%) were positive in arteriography. Among them, 31 cases were upper gastrointestinal hemorrhage and 69 cases were lower digestive tract hemorrhage. 99 cases were treated by transcatheter arterial embolization. The success rate was 99.0% (89 cases). The clinical success rate was 89. 9. 8 cases were followed up with rebleeding and 1 case with intestinal ischemia. Conclusion Transarteriography and embolization can quickly find the location of bleeding and control bleeding effectively, which is safe and effective for diagnosis and treatment of acute non-varicose gastrointestinal hemorrhage.
【作者單位】： 武警后勤學(xué)院附屬醫(yī)院;
【基金】：武警后勤學(xué)院創(chuàng)新團隊基金項目(WHTD201310)
【分類號】：R573.2
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本文編號：2165451