选择性肝动脉栓塞治疗肝外伤术后胆道出血  

Treatment of hemobilia after operation for liver injury with selective hepatic arterial embolism

作　　者：陈振栋[1] 张宏伟[1] 夏伟滨[1] 刘振平[1] 刘振玉[2] 

机构地区：[1]黑龙江省佳木斯大学附属第一医院普通外科,154002 [2]黑龙江省佳木斯大学附属第一医院放射科,154002

出　　处：《中国局解手术学杂志》2002年第2期116-117,共2页

摘　　要：目的 介绍选择性肝动脉栓塞治疗肝外伤术后胆道出血的体会。方法 采用Seldinger法于右股动脉穿刺将5F的RH导管选择性或超选择性地插入病灶区的肝动脉分支内,经DSA造影证实插管无误后,将明胶海绵微粒注入,进行肝动脉栓塞止血。结果 本组病例经1次栓塞均达到了止血目的,无死亡及严重并发症。结论 该方法不需麻醉,对患者影响小,随着DSA和DTA的应用,插管更准确,栓塞止血效果更确切,并发症少,有效地挽救了那些不能耐受再次手术的患者的生命,被认为是目前治疗肝外伤术后胆道出血的十分有效的方法。Objective To introduce the experience of selective hepatic arterial embolism for treating hemobilia after operation. Method RH catheter of SF was inserted selectively or superselectively into the arterial branches of the focus of liver by Seldinger method through right femoral artery. After the insertion was confirmed by DSA absorbable spange particles were injected into the artery for embolization. Results Bleeding stanched after one embolization. There were no death or serious complication. Conclusion No anesthesia is need in this method and has little side effect. When applied with DSA and DTA, the insertion is more accurate and the effect of stanching bleeding is more precise, the complication is lower. It may save the lives of those patients who can't bear anesthesia. And has been considered to be an effective method for treating hemobilia after operation for liver injury so far.

关 键 词：选择性肝动脉栓塞 胆道出血 治疗 

分 类 号：R657.3[医药卫生—外科学]