本文選題：腹部　切入點：腫瘤　出處：《中國介入影像與治療學(xué)》2017年03期

【摘要】：目的探討腹部腫瘤外科術(shù)后出血的血管造影表現(xiàn),評價介入栓塞治療的安全性和有效性。方法回顧分析腹部腫瘤外科術(shù)后出血69例患者的臨床資料、血管造影表現(xiàn)和栓塞治療情況,評價栓塞治療效果、休克指數(shù)1.0、1.0～1.5、1.5時血管造影和栓塞止血情況及并發(fā)癥情況。結(jié)果對69例共進(jìn)行88例次血管造影,血管造影陽性率75.00%(66/88),行介入栓塞治療67例次,止血成功49例次(49/67,73.13%);休克指數(shù)1.0～1.5時,血管造影陽性率達(dá)89.19%(33/37),栓塞止血成功率77.42%(24/31)。8例患者介入止血術(shù)后1個月內(nèi)死亡。結(jié)論介入栓塞止血治療安全、有效,可作為腹部腫瘤術(shù)后出血的首選治療方法。止血時應(yīng)關(guān)注休克指數(shù),盡早選擇血管造影和栓塞治療;在血管造影為陰性結(jié)果時,經(jīng)驗性栓塞治療并不能為患者帶來更大的獲益。
[Abstract]:Objective to evaluate the safety and efficacy of interventional embolization in patients with abdominal tumor bleeding.Methods the clinical data, angiographic findings and embolization treatment of 69 patients with postoperative bleeding after abdominal tumor surgery were retrospectively analyzed. The effect of embolization was evaluated. The hemostasis and hemostasis of angiogram and embolization at 1.0 and 1.5 times of shock index were evaluated as well as complications.Results A total of 88 angiograms were performed in 69 cases. The positive rate of angiography was 75.00%, 66 / 88%, 67 times of interventional embolization, 49 cases of successful hemostasis (49 / 67) 73.13%, shock index 1.0 ~ 1.5,The positive rate of angiography was 89.19% and 33 / 37% respectively. The successful rate of embolization was 77.42% and 24% 31 / 8 cases died within one month after interventional hemostasis.Conclusion interventional embolization hemostasis is safe and effective and can be used as the first choice for postoperative bleeding of abdominal tumor.When hemostasis should pay attention to shock index, choose angiography and embolization as early as possible, when angiography is negative, empirical embolization can not bring more benefit to patients.
【作者單位】： 北京大學(xué)腫瘤醫(yī)院暨北京市腫瘤防治研究所介入治療科惡性腫瘤發(fā)病機(jī)制及轉(zhuǎn)化研究教育部重點實驗室;
【分類號】：R730.5

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