前列腺素E_1间接门脉造影与彩色多普勒在离断术复发出血中的应用  

USE OF PROSTAGLANDIN E1-INDIRECT PORTAL VEIN ANGIOGRAPHY AND COLOR DOPPLER IN THE RECURRENT BLEEDING AFTER DEVASCULARlzAT1ON

作　　者：彭志海[1] 戴植本[1] 赵业民 

机构地区：[1]同济医科大学同济医院外科,山东新汶矿务局中心医院外科

出　　处：《中华消化杂志》1995年第6期330-332,共3页Chinese Journal of Digestion

摘　　要：确定贲门周围血管离断术（离断术）后复发消化道大出血的原因是选择正确治疗方法的依据，前列腺素Ｅ１间接门脉数字减影血管造影（ＤＳＡ）、腹腔动脉ＤＳＡ与彩色多普勒血流显像（ＣＤＦＩ）结合应用，可详细了解门脉系统有无栓塞、有无海绵样变、胃左静脉（ＬＣＶ）、胃左动脉（ＬＧＡ）是否已离断及门脉系统的血流方向。当上述检查方法均未发现明显致消化道出血原因时，结合内镜检查，门脉高压性胃粘膜病变可能是其出血原因。o determine the cause of recurrent gastrointestine bleeding after the pericardiacdevascularization forms the basis of selecting correct treatment. By means of prostaglandinE1-indirect portal vein digital substraction angiography (DSA),coeliac artery DSA combinedwith color doppler fiow imaging(CDFI),one can find out whether there are thrombosis andcavernous change of the portal vein;,whether the left gastric vein(LGV)and left gastricartery(LGA) have been devascularized, and also,the blood flow direction of portal system. Ifno cause of bleeding can be found after undergoing the above procedures along withendoscopy, the gastric mucosal lesion due to portal hypertension may be the cause.

关 键 词：前列腺素E类 血管造影术 多普勒效应 门脉 

分 类 号：R654.3[医药卫生—外科学]