数字减影血管造影在消化道动脉出血患者中的诊断价值及其经微导管超选择动脉栓塞与灌注治疗的效果  

Diagnostic value of digital subtraction angiography in patients with gastrointestinal arterial hemorrhage and the effect of superselective arterial embolization and perfusion therapy via microcatheter

作　　者：曹晓亮 周万里[1] 张颖[1] 张志刚[1] 李颖华 Cao Xiaoliang;Zhou Wanli;Zhang Ying;Zhang Zhigang;Li Yinghua(Department of Interventional Medicine,Baoding First Hospital,Baoding 071000,Hebei,China)

机构地区：[1]保定市第一医院介入医学科,河北保定071000

出　　处：《血管与腔内血管外科杂志》2022年第2期174-177,共4页Journal of Vascular and Endovascular Surgery

基　　金：保定市科技计划项目(2141ZF236)。

摘　　要：目的 探讨数字减影血管造影(DSA)在消化道动脉出血患者中的诊断价值及其经微导管超选择动脉栓塞与灌注治疗的效果。方法 收集2015年6月至2021年6月保定市第一医院收治的76例消化道动脉出血患者的临床资料,均经DSA检查,将发现出血责任血管的54例患者根据家属及患者意愿分为栓塞组与灌注组,每组27例。栓塞组患者采用经微导管动脉栓塞治疗,灌注组患者采用经微导管动脉灌注治疗。比较两组患者的止血效果、再出血率。结果 DSA检查发现出血责任血管54例,检出率为71.05%。栓塞组患者成功止血率为100%,高于灌注治疗组患者的48.15%;再出血率为7.41%,低于灌注组患者的53.85%,差异均有统计学意义(P<0.05)。结论 DSA检查对消化道动脉出血患者有较好的诊断价值,栓塞治疗消化道动脉出血有效率更高,再出血风险更小。Objective To investigate the diagnostic value of digital subtraction angiography(DSA) in patients with gastrointestinal arterial hemorrhage and the effect of superselective microcatheter arterial embolization and perfusion.Method The clinical data of 76 patients with gastrointestinal artery hemorrhage admitted Baoding First Hospital from June 2015 to June 2021 were collected. After the DSA examination, 54 patients with responsible blood vessels for bleeding were divided into the embolization group and the perfusion group according to the wishes of family members and patients, 27 cases in each group. The embolization group was treated with microcatheter arterial embolization, and the perfusion group was treated with microcatheter arterial infusion. The hemostatic effect and rebleeding rate of the two groups were compared. Result DSA examination found 54 cases of bleeding responsible blood vessels, and the detection rate was 71.05%. The successful hemostasis rate in the embolization group was 100%, which was higher than that in the perfusion group whose value was 48.15%;the rebleeding rate was 7.41%, which was lower than 53.85% in the perfusion group, the differences were statistically significant(P<0.05). Conclusion DSA examination has better diagnostic value for the determination of patients with gastrointestinal arterial hemorrhage. And the embolization is more effective in treating gastrointestinal arterial bleeding with less risk of rebleeding.

关 键 词：消化道动脉出血 数字减影血管造影 动脉栓塞治疗 灌注治疗 

分 类 号：R543[医药卫生—心血管疾病]