腹部及盆腔急性出血的介入治疗  

DSA diagnosis and interventional therapy in acute massive hemorrhage of abdomen and pelvis

作　　者：周怡婷[1] 曹建民[1] 

机构地区：[1]南京大学医学院临床学院南京军区南京总医院影像科,210005

出　　处：《介入放射学杂志》2008年第12期884-887,共4页Journal of Interventional Radiology

摘　　要：目的探讨腹部急性出血选择性血管造影诊断及介入治疗价值。方法回顾性分析80例行选择性动脉血管造影及血管内介入治疗的腹部及盆腔急性出血患者的临床资料。结果80例均采用Seldinger技术,经股动脉插管后作选择性血管造影,用碘化油、明胶海绵或弹簧圈栓塞治疗,80例中完全止血68例、再出血9例、无效3例。结论介入方法不仅可确定出血部位,而且可达到止血目的,效果确切。Objective To evaluate the diagnostic angiography and interventional therapy for the different acute massive hemorrhage of abdomen. Methods 80 cases of acute hemorrhage of abdomen and pelvis with clinical data of selective arteriography and endovascular interventional therapy were collected and analized retrospectively. Seldinger technique was adopted for selective visceral angiography via femoral approach with lipiodal, gelfoam and spring coils as the embolic materials. Results All bleeding sites in 80 cases could be confirmed and 68 cases of them were successfully embolized, 9 cases occurred with rehaemorrhagia and 3 cases were ineffective. Conclusion Interventional therapy not only ascertain the bleeding site, but also stop bleeding. The effect is certainly positive.

关 键 词：介入治疗 急性腹部及盆腔出血 血管造影 栓塞 

分 类 号：R815[医药卫生—放射医学]