α-氰基丙烯酸正丁酯胶栓塞肝胆胰外科术后出血的安全性和有效性  

Interventional embolization usingα-N-butyl cyanoacrylate for the treatment of hemorrhage after hepatobiliary and pancreatic surgery:analysis of its safety and efficacy

作　　者：张金龙 袁冰 管阳[2] 孙学栋 赵洪伟 ZHANG Jinlong;YUAN Bing;GUAN Yang;SUN Xuedong;ZHAO Hongwei(Department of Radiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院放射科,100730 [2]解放军总医院第一医学中心介入放射科

出　　处：《介入放射学杂志》2021年第11期1146-1149,共4页Journal of Interventional Radiology

摘　　要：目的评价采用α-氰基丙烯酸正丁酯(NBCA)胶栓塞治疗肝胆胰外科术后出血的安全性和有效性。方法回顾性分析2019年1月至2021年8月采用NBCA胶栓塞治疗的19例肝胆胰外科术后出血患者临床资料、技术成功率、临床成功率及并发症。结果19患者中男17例,女2例,年龄26~80岁。血管造影发现对比剂外溢15例,假性动脉瘤3例,肝动脉瘤样扩张1例。技术成功19例,临床成功15例。未发生介入治疗相关严重并发症。结论采用NBCA胶栓塞治疗肝胆胰外科术后出血安全有效,尤其是对肝动脉、脾动脉破裂大出血患者,具有快速止血的优势。Objective To evaluate the safety and efficacy of interventional embolization by usingα-N-butyl cyanoacrylate(NBCA)in treating hemorrhage occurring after hepatobiliary and pancreatic surgery.Methods A total of 19 patients,who developed hemorrhage after hepatobiliary and pancreatic surgery and received interventional embolization by using NBCA between January 2019 and August 2021,were enrolled in this study.The patients included 17 males and 2 females.The clinical data,technical success rate,clinical success rate and complications were retrospectively analyzed.Results Of the 19 patients,contrast extravasation during angiography was detected in 15,pseudoaneurysm in 3,and hepatic aneurysm-like expansion in one.The technical success rate and clinical success rate were 100%(19/19)and 78.9%(15/19),respectively.No intervention-related serious complications occurred.Conclusion For the treatment of hemorrhage occurring after hepatobiliary and pancreatic surgery,especially for the hemorrhage due to hepatic and spleen arteries rupture,interventional embolization by using NBCA is clinically safe and effective,and this technique carries the advantage of rapid hemostasis.(J Intervent Radiol,2021,30:1146-1149)

关 键 词：出血 栓塞 Α-氰基丙烯酸正丁酯 经导管动脉栓塞术 

分 类 号：R573.2[医药卫生—消化系统]