急性胰腺炎假性动脉瘤的CT诊断和栓塞治疗  

The CT diagnosis and transcatheter embolization in treatment of acute pancreatitis complicating pseudoaneurysm

作　　者：杜玉清[1] 刘永娥[1] 梁惠民[2] 郑传胜[2] 孔祥泉[2] 

机构地区：[1]温州医学院附属第一医院放射科,325000 [2]华中科技大学同济医学院附属协和医院放射科

出　　处：《中华消化杂志》2007年第11期725-727,共3页Chinese Journal of Digestion

摘　　要：目的评价急性胰腺炎伴假性动脉瘤的CT诊断和经导管栓塞治疗的价值。方法对18例急性胰腺炎伴假性动脉瘤患者进行腹部动脉造影和经导管栓塞治疗,回顾性分析其CT、血管造影和临床资料,观察假性动脉瘤的部位及止血效果。结果18例患者CT平扫显示腹腔局限或弥漫性高密度积液,增强扫描显示假性动脉瘤,破裂处可见造影剂外溢。血管造影显示假性动脉瘤22个,其中20个有活动性出血征象,均采用弹簧圈成功栓塞,18个假性动脉瘤一次成功止血。结论CT检查可发现急性胰腺炎伴假性动脉瘤,经导管栓塞治疗是有效和安全的方法。Objective To evaluate the effects of diagnosis and treatment of acute pancreatitis complicating pseudoaneurysm by CT scan and transcatheter embolization. Methods Eighteen cases of acute pancreatitis complicating pseudoaneurysm were performed abdominal angiography and transcatheter embolization. The CT and digital substraction angiography （DSA） findings and clinical data were retrospectively analyzed. The location of pseudoaneurysm and hemostasis were observed. Results CT scan revealed regional or diffuse slight high density fluid collections in abdominal cavity of all patients. Enhanced CT showed contained extravasation of contrast which indictated ruptured the pseudoaneurysm. DSA revealed 22 pseudoaneurysm, and 20 had evidence of bleeding. All pseudoaneurysms were successfully embolized with coils, and hemostasis was achieyed in 18 pseudoaneurysm immediately. Conclusions The acute pancreatitis complicating pseudoaneurysm can be examined with CT scan and transcatheter embolization is safe and effective therapeutic method.

关 键 词：急性坏死型胰腺炎 动脉瘤 假 栓塞 治疗性 

分 类 号：R576[医药卫生—消化系统] R816.5[医药卫生—内科学]