弹簧圈栓塞肠系膜上动脉分支治疗小肠出血的体会  

Experience of coil embolization of the branches of superior mesenteric artery in the treatment of small intestinal bleeding

作　　者：李立忠[1] 莫日根[1] 关利军[2] 贾广志[2] 

机构地区：[1]内蒙古巴彦淖尔市医院放射科,内蒙古巴彦淖尔015000 [2]内蒙古医科大学附属医院介入科

出　　处：《胃肠病学和肝病学杂志》2015年第1期115-117,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨肠系膜上动脉分支栓塞治疗小肠出血的临床疗效及并发症。方法选取2004年7月-2011年11月在巴彦淖尔市医院行选择性肠系膜上动脉造影,证实为小肠出血的患者11例,根据出血血管选择不同的弹簧圈置入。置入后再次造影观察栓塞效果。结果 11例患者全部一次栓塞肠系膜上动脉分支成功,成功率100%。术后给予补液、止血及对症治疗。结论肠系膜上动脉分支栓塞是治疗不能手术的小肠出血的有效方法,是小肠大出血及反复不明原因小肠出血的首选治疗措施。Objective To investigate the therapeutic effect and complication of coil embolization of the branches of superior mesenteric artery in the treatment of small intestinal bleeding. Methods Eleven cases of patients were select-ed. Under the guidance of DSA, selected superior mesenteric angiography was made, and the small intestinal bleeding was confirmed. Different embolization coils were released through the catheter. The mesenteric angiography was made a-gain after the operation to observe the embolic effect. Results The selected superior mesenteric artery branches were successfully embolized in all the patients at the first time, the success rate was 100%. Fluid infusion, hemostasis, and symptomatic treatment were practiced after the operation. Conclusion Embolotherapy of superior mesenteric artery branch is an effective method for the treatment of inoperable small intestinal bleeding. Especially for the patients with profuse, repeated, and cryptogenetic small intestinal hemorrhage, it would be a preferred therapeutic measure.

关 键 词：小肠出血 栓塞 肠系膜上动脉 放射学 介入性 

分 类 号：R816[医药卫生—放射医学]