介入技术治疗腹部脏器出血的应用价值  

The application of interventional management in treating abdominal visceral hemorrhage

作　　者：林宇宁[1] 杨熙章[1] 陈自谦[1] 杨利[1] 宋宇[1] 张盼[1] 陈代文[1] 李慧敏[1] 黄艺生[1] 

机构地区：[1]福州南京军区福州总医院医学影像中心,350025

出　　处：《介入放射学杂志》2013年第8期638-640,共3页Journal of Interventional Radiology

摘　　要：目的探讨腹部脏器出血介入技术的应用价值。方法 2009年6月至2011年6月收治36例腹部脏器出血患者,行急诊介入栓塞或血管腔内隔绝术,其中肝脏假性动脉瘤10例,胃溃疡出血3例,小肠假性动脉瘤3例,肾脏假性动脉瘤12例,肾脏血管畸形5例,瘢痕妊娠出血3例。结果 36例均行相应脏器出血动脉及分支栓塞或血管腔内隔绝术,止血成功率100%,未发生脏器功能严重损害等并发症。结论腹部脏器出血介入治疗安全、有效,针对实质或空腔脏器应采用个性化的介入技术和栓塞材料。Objective To evaluate the interventional management in treating hemorrhage from abdominal viscera. Methods During the period from June 2009 to June 2011, a total of 36 patients with abdominal visceral hemorrhage were admitted to authors’ hospital. Emergency interventional embolization or endovascular stent - graft exclusion was carried out in all patients. The lesions included hepatic pseudoaneurysm （n = 10）, gastric ulcer with bleeding （n = 3）, intestinal pseudoaneurysm （n = 3）, renal pseudoaneurysm （n = 12）, renal vascular malformation （n = 5） and abdominal bleeding due to scar pregnancy （n = 3）. The results were analyzed. Results Interventional embolization of the responsible artery and its branches or endovascular stent- graft exclusion procedure was carried out in all 36 patients, with the success rate of hemostasis being 100%. No complications such as severe functional impairment of abdominal organs, etc. occurred. Conclusion Interventional treatment is quite safe and effective for abdominal visceral hemorrhage. For a given patient with abdominal bleeding from solid or hollow organ,individualized employment of interventional technique and embolic agents should be recommended.

关 键 词：出血 腹部器官 介入 栓塞 血管腔内隔绝术 

分 类 号：R656[医药卫生—外科学]