在消化道出血中DSA诊断与介入治疗的临床应用  

Clinical application of DSA diagnosis and interventional therapy in gastrointestinal hemorrhage

作　　者：李国华[1] 武广利[1] 杨卫宏[1] 宋颖妹[1] 白永明[1] 窦瑞新[1] 

机构地区：[1]天津市南开医院放射科,天津300100

出　　处：《医学影像学杂志》2006年第1期49-51,共3页Journal of Medical Imaging

摘　　要：目的：评价DSA涟诊断与介入治疗在消化道出血中的应用价值。方法：38例消化道出血病例进行了Ⅸ认检查，对动脉性出血的28例患者根据出血的原因和部位，应用不同栓塞剂或缩血管药进行介入治疗。结果：38例中发现血管源性出血23例，肿瘤性出血9例，阳性率84．2％，假阴性3例（7．89％），阴性3例。介入治疗28例患者止血成功率96．42％，术后随访3～6个月无并发症及复发。结论：DSA在消化道出血中具有较高应用价值，动脉栓塞或缩血管药灌注治疗出血性病变创伤小、安全、可靠。Objective：To evaluate the effect of DSA diagnosis and interventional therapy in gastrointestinal hemon＇hage. Methods： DSA was performed in 38 patients with gastrointestinal hemorrhage. 28 cases with arterial hemorrhage underwent interventional therapy with different embolie agents and vasopressin aeording to the cause and position. Results： DSA showed 32/38 eases with gastrointestinal hemorrhage, including 9 cases of tumor and 23 cases of vascular lesion, positive rate for 84.21%. 3 ease were of false negative （7.89 % ）. 3 cases were of negative. 22 eases underwent arterial embolization and 6 eases underwent perfusion of vasoecontrictor substance, the stoped bleeding immediately occured in 96.42%. There were no complication and relapse during 3 to 6 months. Concusion：DSA are moret valuable methods for the diagnosis of gastrointestinal hemorrhage. Arterial embolization and/or perfuslon of vasocontrictor substance for treatment of hemorrhage of digestive tract is safe, effective and a role to save the patient＇s life.

关 键 词：消化道出血 血管造影 栓塞治疗 介入性放射学 

分 类 号：R573.2[医药卫生—消化系统] R815[医药卫生—内科学]