高危溃疡致胃肠道出血血管造影表现及栓塞治疗效果  

Angiographic manifestations of gastrointestinal bleeding caused by high-risk ulcer and therapeutic effect ofarterial embolization

作　　者：胡跃峰 陈广[1] 魏建 尉建安 曹沙沙 王灏琛 金龙[1] HU Yuefeng;CHEN Guang;WEI Jian;YU Jian'an;CAO Shasha;WANG Haochen;JIN Long(Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China)

机构地区：[1]首都医科大学附属北京友谊医院放射介入科,北京100050

出　　处：《中国介入影像与治疗学》2021年第2期87-90,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察高危溃疡致胃肠道出血血管造影表现及动脉栓塞治疗效果。方法对49例经胃镜证实高危溃疡致胃肠道出血患者行血管造影及栓塞治疗,观察造影表现、栓塞前后溃疡变化,评价栓塞疗效。结果造影总阳性率51.02%(25/49),栓塞成功率100%,止血总有效率83.67%(41/49),再出血率10.20%(5/49),无严重并发症发生。术后复查胃镜提示溃疡Forrest分级均下降,无活动性出血表现,高危溃疡由急性期向愈合期转变。结论高危溃疡致急性胃肠道出血动脉造影总阳性率高,栓塞治疗安全有效。Objective To observe the angiographic manifestations of gastrointestinal bleeding caused by high-risk ulcer and the therapeutic effect of arterial embolization.Methods Angiography and arterial embolization were performed in 49 cases with gastrointestinal bleeding caused by high-risk ulcer confirmed by gastroscopy.The angiographic manifestations as well as changes of ulcer before and after embolization were observed,and the effectiveness of embolization was evaluated.Results The total positive rate of angiography was 51.02%(25/49),the technical success rate of arterial embolization was 100%,and the total effective rate of hemostasis was 83.67%(41/49).After treatment,the rebleeding rate was 10.20%(5/49).No serious complication occurred.Follow-up endoscopic examination was performed after embolization.The Forrest grade of ulcers decreased,no active bleeding happened,and the ulcers changed from acute stage to healing stage.Conclusion Acute gastrointestinal bleeding caused by high-risk ulcer had high overall positive rate in arteriography,and arterial embolization was safe and effective for treatment of this kind of gastrointestinal bleeding.

关 键 词：胃溃疡 十二指肠溃疡 出血 栓塞 治疗性 血管造影术 

分 类 号：R656.6[医药卫生—外科学] R815[医药卫生—放射医学]