腹部增强CT诊断及经导管动脉栓塞治疗自发性腹膜后血肿  

Abdominal contrast-enhanced CT for diagnosing and transcatheter arterial embolization for treating spontaneous retroperitoneal hematoma

作　　者：陈尘[1] 高健[1] 郅新 洪楠[1] CHEN Chen;GAO Jian;ZHI Xin;HONG Nan(Department of Radiology,Peking University People’s Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院放射科,北京100044

出　　处：《中国介入影像与治疗学》2023年第12期718-721,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的评估腹部增强CT诊断及经导管动脉栓塞治疗自发性腹膜后血肿(SRH)的价值。方法回顾性分析7例SRH患者,4例经腹部增强CT、1例经平扫CT、2例经超声诊断;均通过造影明确责任动脉后予以经导管动脉栓塞治疗;记录总造影用时,即首次造影与末次造影之间的时间间隔,以及治疗效果。结果7例SRH中,6例造影可见明确责任动脉,均成功予以栓塞,随访至术后30天,病情均稳定;1例未见明确责任动脉,经内科保守治疗后病情稳定。4例经增强CT诊断SRH总造影用时32~60 min、中位用时47.5 min,其余3例总造影用时36~80 min、中位用时63.0 min。结论腹部增强CT有助于诊断SRH及显示责任动脉、提高治疗效果;经导管动脉栓塞可有效治疗SRH。Objective To observe the value of abdominal contrast-enhanced CT for diagnosis of spontaneous retroperitoneal hematoma(SRH)and transcatheter arterial embolization for treating SRH.Methods Data of 7 SRH patients were retrospectively analyzed,including 4 cases diagnosed with abdominal contrast-enhanced CT,1 case diagnosed with plain CT and 2 cases diagnosed with abdominal ultrasound.Transcatheter angiography was performed to explore the offending artery of SRH which were then treated with trancatheter arterial embolization.The total angiographic time,i.e.the time span between the first and the last angiography was recorded and the treatment effect was observed.Results Among 7 patients,the offending artery of SRH was identified and embolized,and 30 days follow-up showed stable condition in 6 cases.The offending artery of SRH was not found in 1 case who then received conservative medical treatment,and the condition remained stable.The total angiographic time in 4 cases diagnosed with abdominal contrastenhanced CT were 32—60 min,with a median time of 47.5 min,while in the rest 3 were 36—80 min,with a median time of 63.0 min.Conclusion Abdominal contrast-enhanced CT was helpful to diagnosis and displaying the offending artery of SRH.Transcatheter arterial embolization was effective for treating SRH.

关 键 词：腹膜 血肿 栓塞 治疗性 血管造影术 体层摄影术 X线计算机 

分 类 号：R656.5[医药卫生—外科学] R814.42[医药卫生—临床医学]