介入栓塞治疗消化道出血的安全性和有效性观察  

The efficacy and safety of interventional embolization in managing gastrointestinal bleeding

作　　者：陆宗海[1] 朱虎[2] 孙功能[2] LU Zong-hai;ZHU Hu;UN Gong-neng(Department of Gastroenterology,Chaohu Hospital,Anhui Medical University;Interventional Institute of Chaohu Hospital,Anhui Medical University,Chaohu 238000,Anhui,China)

机构地区：[1]安徽医科大学附属巢湖医院消化内科 [2]安徽医科大学附属巢湖医院介入科,安徽巢湖238000

出　　处：《川北医学院学报》2018年第1期101-104,共4页Journal of North Sichuan Medical College

摘　　要：目的:探讨介入栓塞治疗消化道出血的安全性和有效性。方法:对15例消化道出血病例进行数字减影血管造影,并对13例发现出血阳性征象者进行栓塞治疗。结果:10例1次栓塞成功止血,1例两次栓塞成功止血,止血率84.6%,再次栓塞率7.7%;2例栓塞后48 h内再发出血,再出血率15.4%,其中1例行外科手术;随访30 d无肠坏死等并发症。结论:介入栓塞治疗消化道出血是一种可行的,安全的,有效的治疗方法。Objective:To assess the efficacy and safety of interventional embolization in managing gastrointestinal bleeding.Methods:15 patients with gastrointestinal bleeding underwent digital subtraction angiography(DSA).When positive signs of bleeding appeared,13 patients proceed to embolization.Results:10 cases were successfully treated by primary embolization.Only 1 case demonstrated rebleeding and was reembolized.The hemostasis rate was 84.6%,repeated embolization rate was 7.7%.2 patients had clinical rebleeding after intervention within 48 h.The rebleeding rate was 15.4%.The 1 failed case was treated by surgical operation.No intestinal ischaemia was observed in 30 d.Conclusions:Interventional embolization is a viable,safe,and effctive management for gastrointestinal bleeding.

关 键 词：消化道出血 数字减影血管造影 介入栓塞 

分 类 号：R573.2[医药卫生—消化系统]